Flu fears and rumours paralyze Ukraine

A young man wears a gas mask as he rides a bus during an H1N1 flu outbreak in the western Ukrainian city of Lviv.

A young man wears a gas mask as he rides a bus during an H1N1 flu outbreak in the western Ukrainian city of Lviv. AFP/Getty Images

Ukraine has been awash with misinformation about H1N1 since Prime Minister Yulia Tymoshenko set off a public panic by shutting schools, banning public gatherings and warning that whole cities might have to be quarantined

SUSAN SACHS

KIEV From Monday's Globe and Mail

With classes cancelled after the government declared a flu epidemic, Eric Barsadanyan and his friends spend their days hunched over cigarettes and soft drinks in the gloom of an empty coffee shop on the third floor of an equally empty shopping mall.

They had not heard of the H1N1 virus even a week ago. But they are pretty sure they understand it now.

"You catch it from imported food and clothing that isn't clean," said Mr. Barsadanyan, an 18-year-old first-year medical student who wears his close-cropped hair shaved into stripes along the sides.

He is not worried because he heard that the Ministry of Health has taken a somewhat unusual step. "They sprayed the city," he explained, "with the necessary products."

Ukraine has been awash with such misinformation about H1N1 for the last week, since Prime Minister Yulia Tymoshenko set off a public panic by shutting schools, banning public gatherings and warning that whole cities might have to be quarantined to prevent the spread of the disease. They were the most draconian measures taken by any country since the flu first appeared in Mexico last spring.

Alexander Prokopenko/Reuters

Ukraine's Prime Minister Yulia Tymoshenko wears a protective mask as she visits a hospital in Ivano-Frankivsk. Ukraine has closed schools and banned public meetings for a three-week period after confirming its first death from the H1N1 flu.

But it is still far from clear whether Ukraine is in the grips of a runaway H1N1 epidemic, as some officials have suggested, or whether the precautions were a confused overreaction to a predictable winter outbreak of seasonal flu.

The numbers coming from different government agencies and state media have been wildly contradictory.

Depending on the source, the number of reported cases of flu and respiratory illness last month ranged from under 7,000 all the way up to half a million, with no indication of how many people normally fall ill or die from the flu in the winter in this country of 40 million people.

The Ministry of Health has also issued conflicting information on the number of flu cases, flu-related deaths and suspected deaths due to the H1N1 virus. At one point, according to a state news agency report, a ministry official said flu deaths were down 10 per cent over last year.

An initial assessment from the World Health Organization - which sent a team of medical experts to Ukraine after a desperate plea for emergency aid from the country's President - was that the H1N1 virus could be confirmed as the cause of one of some 80 reported deaths from flu in the past two weeks.

The inconsistencies only increased public uncertainty about what was actually happening, and many Ukrainians appeared to have decided to prepare for the worst.

Across the country, people have emptied pharmacies of masks, gauze, vitamins and every variety of flu and cold medication. Rumours abound that helicopters have tried to disinfect Kiev by spraying it with chlorine gas. Government officials have gone on national television to deny other rumours that rural western Ukraine is in the grip of a deadly unnamed plague.

The flu epidemic was announced against the backdrop of a tightly fought presidential campaign pitting President Victor Yushchenko, the leader of Ukraine's 2004 Orange Revolution, against Ms. Tymoshenko. He was forced to cancel a planned campaign rally last week after the ban on public gatherings was announced.

A third candidate, the opposition leader Victor Yanukovych, has accused his rivals of trying to exploit public health fears to advance their flagging campaigns.

For many ordinary people, the political squabbling has added another element of doubt to the H1N1 scare.

"There is always some kind of fever - economic, health-wise or political - before an election. It's a nice way for politicians to show they are doing something," said Larysa Kostrikina, a graphic artist. "I think this one will be over when the election is over" in January.

Not even gauze was available in the city by midweek. But that did not stop people from stopping in at every pharmacy in hopes of finding a talisman against a virus that many referred to as the "lung plague."

Anything, it seemed, would do for the crowd gathered around the window of a tiny drug store outside the entrance to the Pozdnyaki subway station in Kiev one evening last week.

"I'm not sick. I just want to strengthen my immune system," said one middle-aged woman wrapped in a heavy overcoat and a fraying homemade mask. She was looking for a Russian-made cream that was particularly sought-after in Kiev because it is supposed to kill viruses when spread inside the nostrils.

In Canada and many Western countries, the H1N1 virus has been in the news for months and a public debate has been raging for weeks over how to handle the vaccine. That debate has passed many other countries by, however.

In Ukraine, until the government abruptly declared an epidemic last week, the new virus was the subject of only sketchy references in the media.

"People naturally are panicked because they don't know about this and haven't been prepared for it," said Michail Radutsky, president of the private Boris Clinic, one of the biggest private clinics in the country.

Its doctors have seen four times the usual number of patients in the past week, he said. Some have flu-like symptoms. Most, however, are just frightened.

***

H1N1: WHAT THE WORLD IS DOING

United States

  • The H1N1 virus is widespread, with most illness seen in younger people. More than half of those admitted to hospitals are under 25 years old. The United States has four vaccine suppliers, but has been slow in receiving vaccine. And there has been controversy: Americans learned that employees of financial giants Goldman Sachs and Citigroup got the vaccine even as many community clinics had none.

Mexico

  • Mexico was the epicentre of the first outbreak about seven months ago. But when manufacturers moved to develop a vaccine, most of the vaccine was snapped up by wealthy countries, including the United States and Canada. Vaccine supplies are low, and officials plan to provide it to high-risk groups, including pregnant women, health-care workers and young children.

Britain

  • There are no pictures of long lineups, and no cries of injustice that the vaccine is going to the wealthy. Vaccine is given out mostly by invitation only to those at high-risk for complications. Britain's National Health Service sent letters inviting those who qualify to make an appointment and get their shots first.

China

  • H1N1 is on the rise in China, triggering an early start to the winter influenza season. The country is among more than 20 to have launched mass immunization campaigns against the virus. China has moved quickly to vaccinate the most vulnerable groups after being accused of failing to move swiftly enough to stop the 2003 outbreak of SARS.

ASSOCIATED PRESS AND CAROLINE ALPHONSO

The Globe on H1N1

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