Friday, June 20, 2014

No Vaccines for Lebanese Kids

            Yesterday when I took Noonie in for a couple of overdue booster shots the doctor could only give her one of them. The less important one.
            “Most vaccines are unavailable right now in Lebanon,” he told us.
            As I looked at him with my face in its customary what-kind-of-bloody-country-is-this expression, he explained.
            “All the vaccines are being shunted to the Syrian refugees. I can’t get my hands on them. I had the father of a two-month-old infant in here yesterday shouting at me because I can’t vaccinate his child. What can I do? I called the ministry of health and they told me it’s not their problem.”
            His soft voice hardened as he continued. “I said to the man on the phone, ‘If vaccines are not the responsibility of the ministry of health, who can we turn to?”
            “But this doesn’t make any sense,” I said (I’m always saying that sentence in Lebanon. I should just make a button to pin on my sweater). “Doesn’t the Lebanese government have the authority to dictate where vaccines are being directed in its own country? On whose authority are the vaccines going to the refugees?”
            “I don’t know exactly,” he said. “I believe the UN’s. But I’m afraid I don’t understand precisely how it is decided.”
            “So. . . we’ll just wait and do the DPT shot when it becomes available? And what about the hepatitis B shots my son needs -- are you able to get those?”
            “No,” he said. “No hepatitis B, either. And I recommend a typhoid booster and meningococcal booster for both of your children as well but they are also unavailable right now.”
            “I guess we’ll have to try to get them when we’re in Dubai or Canada,” I said after a long pause in which I attempted to wrap my cerebrum around this latest glimpse of what a shambles is Lebanon.
            He nodded. “That would be the best idea. I don’t know when I’ll be able to get them. The other thing you can try is if you know someone – you know, important – you can try to source the vaccines yourself.”
            I stared. “You mean, use wasta to get my kids vaccinated?” (Wasta is an Arabic word that translates roughly as ‘conduit’. In Lebanon it means preferential treatment.)
            He smiled. “Yes, wasta, if you like. There isn’t much choice, I’m afraid.”
            “And what about the parents of the two-month-old baby?” I said. “What are they going to do?”
            “Ah,” he said, his face falling. “Those people have no wasta. Nor do they travel outside Lebanon. They’ll just have to wait and hope their child doesn’t get sick.”