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NOT JUST COVID-19 BUT POLIO, MEASLES, CHOLERA COULD SURGE IN UKRAINE, DOCTORS
WARN

By Jacqueline Howard, CNN



Updated 3:56 PM ET, Tue March 15, 2022


JUST WATCHED


VOLODYMYR ZELENSKY WALKS TO HOSPITAL TO VISIT WOUNDED UKRAINIAN SOLDIERS


Replay
More Videos ...

MUST WATCH


Play







(16 VIDEOS)




'COMPLETE LACK OF NORMAL HUMAN MORALS': OLIGARCH'S EX-PARTNER ON LIFE AROUND
PUTIN


MAN DESCRIBES JOURNEY FROM US TO SAVE SISTER FROM UKRAINE


'BULLS**T': KYIV MAYOR VITALI KLITSCHKO REACTS TO RUSSIA'S CLAIM


SEE WHAT HAPPENED AT A RUSSIAN RAPPER'S PROTEST CONCERT


THESE MAPS SHOW HOW NATURAL GAS IS BEHIND RUSSIA'S POWER


RETIRED BRIG. GENERAL: THIS WEAPON IS ZELENSKY'S NO-FLY ZONE


THIS IS HOW THE UKRAINIAN TROOPS ARE HOLDING UP AGAINST THE RUSSIAN INVASION


BIDEN CALLS PUTIN A WAR CRIMINAL


VOLODYMYR ZELENSKY WALKS TO HOSPITAL TO VISIT WOUNDED UKRAINIAN SOLDIERS


IS PUTIN THE 'RICHEST MAN IN THE WORLD?' CNN INVESTIGATES


HEAR WHAT PUTIN TOLD LARGE CROWD AMID INVASION


'I WAS VERY SCARED': BOY WHO MADE 600-MILE SOLO TRIP SPEAKS OUT


RETIRED COLONEL: THIS IS HOW RUSSIA IS TRYING TO REPLENISH THEIR FORCES


CLOUDS OF SMOKE RISE IN LVIV AFTER RUSSIAN MISSILE ATTACK


HERE'S WHY EXPERTS BELIEVE RUSSIA IS 'INTENTIONALLY TARGETING' UKRAINE CIVILIANS


REFUGEES ARRIVE IN POLAND FROM UKRAINE FACING UNCERTAIN FUTURE


'COMPLETE LACK OF NORMAL HUMAN MORALS': OLIGARCH'S EX-PARTNER ON LIFE AROUND
PUTIN


MAN DESCRIBES JOURNEY FROM US TO SAVE SISTER FROM UKRAINE


'BULLS**T': KYIV MAYOR VITALI KLITSCHKO REACTS TO RUSSIA'S CLAIM


SEE WHAT HAPPENED AT A RUSSIAN RAPPER'S PROTEST CONCERT


THESE MAPS SHOW HOW NATURAL GAS IS BEHIND RUSSIA'S POWER


RETIRED BRIG. GENERAL: THIS WEAPON IS ZELENSKY'S NO-FLY ZONE


THIS IS HOW THE UKRAINIAN TROOPS ARE HOLDING UP AGAINST THE RUSSIAN INVASION


BIDEN CALLS PUTIN A WAR CRIMINAL


VOLODYMYR ZELENSKY WALKS TO HOSPITAL TO VISIT WOUNDED UKRAINIAN SOLDIERS


IS PUTIN THE 'RICHEST MAN IN THE WORLD?' CNN INVESTIGATES


HEAR WHAT PUTIN TOLD LARGE CROWD AMID INVASION


'I WAS VERY SCARED': BOY WHO MADE 600-MILE SOLO TRIP SPEAKS OUT


RETIRED COLONEL: THIS IS HOW RUSSIA IS TRYING TO REPLENISH THEIR FORCES


CLOUDS OF SMOKE RISE IN LVIV AFTER RUSSIAN MISSILE ATTACK


HERE'S WHY EXPERTS BELIEVE RUSSIA IS 'INTENTIONALLY TARGETING' UKRAINE CIVILIANS


REFUGEES ARRIVE IN POLAND FROM UKRAINE FACING UNCERTAIN FUTURE




(CNN)Global health officials have warned that there will be a rise of Covid-19
cases in Ukraine tied to Russia's invasion, but doctors also worry about a surge
in other infectious diseases: polio, cholera and measles.

Before the war, Ukraine had low vaccination rates against those diseases, Kate
White, an emergency program manager for Doctors Without Borders, told CNN on
Tuesday.
War in Ukraine could make the Covid-19 pandemic worse, WHO says

Now, doctors on the ground in Ukraine worry that a rise in these
vaccine-preventable infectious diseases will be another consequence of Russia's
invasion -- and that even more lives could be lost to the spread of disease.

"In terms of what we call vaccine-preventable diseases, the status in Ukraine
was that the population was not vaccinated to the extent which you would get
herd immunity like you would in many other European countries or in the US,"
White said.


Not only have vaccinations been low, the administration of routine immunizations
"is no longer functioning" because the nation's health system has been
"disrupted."

Read More
"Then, on top of that, you have the overall public health situation -- so many
cities where lack of access to health care is compromised, some places where
they no longer have the water supply that they used to, they don't have
electricity, there's issues with sanitation -- so all of these risk factors pile
up on top of each other, which means that there is an increased risk," White
said, referring to diseases like cholera that usually spread in places with
inadequate water treatment, poor sanitation and inadequate hygiene. Meanwhile,
the risk of polio and measles rises as more people gather and flee the area
while medical supplies dwindle.
The 'chicken and egg' reason why polio outbreaks still happen

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Ukraine has seen outbreaks of these diseases before.

"There was a polio outbreak in Ukraine last year," White said. "Ukraine was the
last country within Europe to have a cholera outbreak in 2011, and that was in
Mariupol."
Today, the city of Mariupol remains a site of major Russian attacks and damage.
Conditions in Mariupol are "unbearable" and "just hell," residents who fled the
besieged city in southeastern Ukraine have told CNN, as drone footage and
satellite photos have emerged showing utter devastation wrought by the Russian
bombardment.
As many as 2,500 civilians have died in Mariupol, Ukrainian officials estimate.
About 350,000 people are trapped in the city, with officials warning that those
who remain are without electricity, water and heat.


'WE'RE ONLY AT THE START OF THE BURDEN'

The growing concern around a surge of infectious diseases comes as a number of
hospitals and health facilities in Ukraine are no longer functioning -- or have
been attacked or under siege.
On Tuesday, a Ukrainian official accused Russian troops of holding people
captive at a Mariupol hospital. Pavlo Kyrylenko, the head of Donetsk regional
administration, said doctors and patients were being held against their will in
the Mariupol regional intensive care hospital, also referred to as Hospital No.
2.


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In a statement posted on his official Telegram channel, Kyrylenko said that one
of the hospital employees managed to pass on information about what was
happening.
"It is impossible to get out of the hospital. They shoot hard, we sit in the
basement. Cars have not been able to drive to the hospital for two days.
High-rise buildings around us are burning. ... The Russians have rushed 400
people from neighboring buildings to our hospital. We can't leave," Kyrylenko
said, quoting the employee.
Kyrylenko said that the hospital was "practically destroyed" several days ago
but that its staff and patients stayed in the basement, where the patients
continued to be treated.
The World Health Organization, the United Nations Population Fund and UNICEF
released a joint statement Sunday noting that since the start of the war in
Ukraine, at least 31 attacks on health care have been recorded in its
Surveillance System for Attacks on Health Care.
In 24 of those incidents, health care facilities were damaged or destroyed, and
in five cases, ambulances were damaged or destroyed. In their statement, the
groups called for "an immediate cessation of all attacks on health care" in
Ukraine.
"These attacks have led to at least 12 deaths and 34 injuries, and affected
access to and availability of essential health services," the statement says.
"WHO is verifying further reports, as attacks continue to be reported despite
the calls for protection of health care."
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the CNN Health team.


There are more people needing care but with fewer hospitals available within the
country, White said, adding that there are two "medical elements" taking
priority.
For one, "there's those cases that are related to trauma, whether that be
conflict-related trauma or even things like road accidents," White said. Then,
"there are also a few other chronic diseases that are starting to hit more and
more."
People in Ukraine with certain chronic diseases have lost access to their
medications due to the war, and their conditions -- such as diabetes or
hypertension -- now could be uncontrolled and worsening. This could lead some of
them to need hospital care, too.

Sadly, these public health consequences of war are not unique to Ukraine, White
said.
"Unfortunately, I don't think there is anything particularly unique, and that
really actually breaks my heart that I've seen this too many times before,"
White said. "We're only at the start of the burden that the health system is
going to face as this conflict continues."

CNN's Ivana Kottasová in Lviv and Marina Marukhnych in Odessa contributed to
this report.

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