In time of crisis, Venezuelans help the hungry

Mariano Marquez (L), a volunteer of Make The Difference (Haz La Diferencia) charity initiative, gives a cup of soup and an arepa to a homeless woman in a street of Caracas, Venezuela March12, 2017. Picture taken March 12, 2017. REUTERS/Marco Bello

By Andreina Aponte

CARACAS (Reuters) – Their clothes torn and dirty, nine barefoot children yell and applaud as a convoy of cars approaches on a busy street in Venezuela’s capital.

Volunteers emerge handing out soup and clothes to the delight and excitement of the children who have come from a town a couple of hours outside Caracas.

“We started this because we see people every day hunting for food in the trash, not only the homeless but people on their way to work,” said Diego Prada, a 28-year-old entrepreneur who began a charity in December in response to Venezuela’s dire economic crisis.

His ‘Make The Difference’ initiative is one of a plethora of solidarity projects springing up around Venezuela, in the fourth year of a crushing recession that has forced many to skip meals and jostle for scarce subsidized food.

Concerned individuals, businesses, church groups and high-end restaurants have started projects across the country to serve food, donate clothing and help with supplies for struggling hospitals.

Long accustomed to living in one of Latin America’s wealthiest nations, many Venezuelans have been shocked by seeing more and more people trying to salvage food from the trash.

Diego Prada (L), a volunteer of the Make The Difference (Haz La Diferencia) charity initiative, gives a cup of soup and an arepa to a man in a street of Caracas, Venezuela March12, 2017. Picture taken March 12, 2017. REUTERS/Marco Bello

Diego Prada (L), a volunteer of the Make The Difference (Haz La Diferencia) charity initiative, gives a cup of soup and an arepa to a man in a street of Caracas, Venezuela March12, 2017. Picture taken March 12, 2017. REUTERS/Marco Bello

According to a recent study by three Venezuelan universities, 93 percent of the OPEC nation’s residents do not have enough money to buy sufficient food and 74 percent have lost around 18 pounds (8 kg) in the last year alone.

Critics say 18 years of socialist rule, exacerbated by a fall in oil prices, are to blame for Venezuela’s economic collapse. But President Nicolas Maduro says he is the victim of an “economic war” waged by the country’s elite and the U.S. government.

“If the bourgeoisie hide the food, I myself will bring it to your house. National production should go to the people in order to defeat the imperialist war,” Maduro said at an event this month to promote the distribution of subsidized food.

In Caracas, six upscale restaurants and chefs have formed a charity – “Full Stomach, Happy Heart” – that provides food for a geriatric home and a children’s hospital.

They take turns to cook and serve meals there.

“We serve large portions so that the children can share the food with their parents,” said chef and blogger Elisa Bermudez, adding salt to a broth ready for the hospital.

At a nursing home, 55-year-old Maria Ramirez is grateful for the outside help she receives.

“Sometimes we worry that we’re down to our last bag of spaghetti but thankfully in our most critical moments, we always receive a donation.”

(Additional reporting by Maria Ramirez in Puerto Ordaz and Anggy Polanco in San Cristobal.; Editing by Andrew Cawthorne and Tom Brown)

Yemen orphanage braves nearby air strikes

Boys play football in the yard of The al-Shawkani Foundation for Orphans Care in Sanaa, Yemen, January 24, 2017. REUTERS/Khaled Abdullah

By Khaled Abdullah

SANAA (Reuters) – After two years of war, orphans in the Yemeni capital Sanaa have only one dream – to survive.

The al-Shawkani Foundation for Orphan Care is located around 100 meters (yards) from the al-Nahdain mountain, widely believed to be an arms depot that has been repeatedly bombarded by Saudi-led coalition’s fighter jets.

Bombardment of the explosive-laden peak send huge mushroom clouds erupting into Sanaa’s skies and shake the whole city.

As the war rages on, the orphans suffer through a constant state of fear and trauma.

“We were scared, and every time we hear the plane’s noise, they (orphanage staff) would rush us quickly to the basement fearing for our safety,” said Mousa Saleh Munassar, 14.

“Many of my friends have left the orphanage and returned to their relatives,” he added. “I expect strikes nearby at any time.”

Mousa once dreamt of becoming a doctor, but describes the only dream he and his friends now share: “We want the war to calm down for us to see security and stability come back.”

Orphanage director Muhammad al-Qadhi says it relies on the generosity of private donors and charity groups.

But the war has devastated the economy and unleashed a humanitarian crisis, depleting savings and public resources.

“We are going through a pressing need for aid for these orphans amid the scarcity of resources that used to provide for them due to the ongoing war,” he said.

The foundation used to host around 350 orphans before the conflict began. Now only around one-third remain after most left for the relative safety of living with family members in the countryside.

Yemen’s conflict pits the Iran-allied Houthi movement and elements of the military against the Saudi-backed government of President Abd-Rabbu Mansour Hadi.

Saudi-led air strikes have repeatedly hit hospitals, homes and markets, but the kingdom denies targeting civilians.

Largely stalemated in nationwide battlefronts, the war has plunged millions into poverty, displaced millions of others and killed more than 10,000 people.

Children have born the brunt of the country’s collapse.

According to UNICEF, one child dies in Yemen every ten minutes from preventable diseases including malnutrition, respiratory infections and diarrhea.

Nine-year-old Abdulaziz Badr al-Faisari of the orphanage said he and his fellow orphans were terrified when bombs shake the whole building, but appeared resigned to his fate.

“We have had nowhere to flee.”

(Editing by Tom Heneghan)

Exclusive: Lead poisoning afflicts neighborhoods across California

A man passes a four unit building under renovation in Emeryville, California, United States March 20, 2017. Neighbor Joy Ashe says she is concerned about lead and other pollutants escaping during construction. To match Special Report USA-LEAD/CALIFORNIA REUTERS/Noah Berger

By Joshua Schneyer and M.B. Pell

NEW YORK (Reuters) – Dozens of California communities have experienced recent rates of childhood lead poisoning that surpass those of Flint, Michigan, with one Fresno locale showing rates nearly three times higher, blood testing data obtained by Reuters shows.

The data shows how lead poisoning affects even a state known for its environmental advocacy, with high rates of childhood exposure found in a swath of the Bay Area and downtown Los Angeles. And the figures show that, despite national strides in eliminating lead-based products, hazards remain in areas far from the Rust Belt or East Coast regions filled with old housing and legacy industry.

In one central Fresno zip code, 13.6 percent of blood tests on children under six years old came back high for lead. That compares to 5 percent across the city of Flint during its recent water contamination crisis. In all, Reuters found at least 29 Golden State neighborhoods where children had elevated lead tests at rates at least as high as in Flint.

“It’s a widespread problem and we have to get a better idea of where the sources of exposure are,” said California Assembly member Bill Quirk, who chairs the state legislature’s Committee on Environmental Safety and Toxic Materials.

(To see the Reuters interactive map of U.S. lead hotspots, click here http://reut.rs/2h55POf)

Last week, prompted in part by a December Reuters investigation pinpointing thousands of lead hotspots across the country, Quirk introduced a bill that would require blood lead screening for all California children. Now, just a fraction of the state’s children are tested.

The newest zip code-level testing data was released by the California Department of Public Health in response to a longstanding Reuters records request and adds to a limited set of numbers previously disclosed by the state. The numbers offer a partial state snapshot, covering tests conducted during 2012 – the most recent year for which information was provided – and in about one-fourth of the state’s more than 2,000 zip code areas.

Unlike other states that provided Reuters with results for all zip codes or census tracts, California withheld data from zip codes where fewer than 250 children were screened, calling such results less reliable. So, the available data – encompassing about 400,000 children tested in 546 zip codes – likely omits many neighborhoods where lead exposure remains a problem but fewer children were screened.

California’s Public Health Department said comparisons between the state’s blood lead testing results and those from other states aren’t warranted. It said the state tests children deemed at risk for lead exposure, such as those enrolled in Medicaid or living in older housing.

HOTSPOT IN FRESNO

“Testing of at-risk children, and not all children, skews California results to higher percentage of children tested showing lead exposure,” the state said.

Testing that targets at-risk children is common across much of the country, however. And, as Reuters reported last year, many at-risk children in California and other states fall through the cracks of these programs and go untested.

Blood tests can’t determine the cause of a child’s exposure, but potential sources include crumbling old paint, contaminated soil, tainted drinking water or other lead hazards.

In Fresno’s downtown 93701 zip code, nearly 14 percent of children tested had lead levels at or above 5 micrograms per deciliter of blood, the Centers for Disease Control and Prevention’s current threshold for an elevated reading.

No level of lead exposure is safe, but children who test that high warrant a public health response, the CDC says.

Once common in household paint, gasoline and plumbing, lead is a neurotoxin that causes irreversible health impacts, including cognitive impairment and attention disorders in children.

In all, Fresno County had nine zip code areas where high lead levels among children tested were at least as common as in Flint. The Reuters article in December documented nearly 3,000 locales nationwide with poisoning rates double those found in the Michigan city along the Flint River.

The city of Fresno battles high poverty rates and problems with substandard housing, both risk factors for lead exposure. Some locals are also concerned with drinking water, after unsafe levels of lead were detected in at least 120 Fresno homes last year.

Fresno County’s lead poisoning prevention program conducts outreach across the city, and a program health educator, Leticia Berber, says exposure remains too common.

Still, she expressed surprise at the area’s high rate. “We haven’t looked at it that way compared to Flint,” Berber said.

Eight zip codes in Alameda County, which includes Oakland, had rates equal to or greater than those found in Flint. Other counties containing zip codes with high exposure rates included Los Angeles, Monterrey and Humboldt.

The exposure hotspots remain outliers. Around 2 percent of all California children tested in 2012 had lead levels at or above the federal standard, Reuters found.

Yet in the worst-affected zip codes identified statewide, more than 10 percent of children tested had an elevated lead level. In scores of others, less than 1 percent of children tested high. Three zip codes reported no high tests in 2012.

BAY AREA PLANS ACTION

In California, home inspections are required when a child’s levels reach 14.5 micrograms per deciliter, the state’s formal threshold for a “lead poisoning case.”

State and local health departments provide services, including educational materials, to some families whose children test at or above 4.5 micrograms per deciliter. Like other states, including Michigan, California rounds its blood lead test results up or down to the nearest whole number. So, a result of 4.5 or higher meets the CDC threshold.

In its December report, Reuters tracked California lead exposure rates based on the neighborhood-level data available at the time. The report showed hotspots such as the Fruitvale neighborhood of Oakland, where 7.6 percent of children tested high, prompting media coverage and new initiatives to protect children.

Lead exposure is common in other East Bay areas, including large parts of Oakland, and nearby Emeryville and Fremont, the new data shows.

In January, Oakland city council members introduced a resolution that would require property owners to obtain lead inspections and safety certifications before renting or selling houses and apartments built before 1978, when lead paint was banned.

Emeryville’s city council this month proposed an ordinance to require proof that contractors will adhere to Environmental Protection Agency standards – including safe lead paint removal practices – before they renovate older housing.

Emeryville Vice Mayor John Bauters said paint exposure isn’t the only risk. A long history of heavy industry in the East Bay also left contaminated soil in some areas.

In the Los Angeles area, the prevalence of high blood lead tests reached 5 percent or above in at least four zip codes during 2012.

Since August, a sampling of children tested from the Los Angeles neighborhoods of Westlake, Koreatown and Pico Union revealed about 5 percent with high lead results, said Jeff Sanchez, a public health specialist at Impact Assessment, which helps Los Angeles run its lead poisoning prevention program.

“The more you look,” Sanchez said, “the more you find.”

(Reporting By Joshua Schneyer and M.B. Pell. Editing by Ronnie Greene.)

Trump’s son Eric and his wife expect first child in September

FILE PHOTO: Donald Trump's son Eric Trump and his wife Lara Yunaska watch the proceedings during the third day of the Republican National Convention in Cleveland, Ohio, U.S., July 20, 2016. REUTERS/Carlo Allegri/File Photo

NEW YORK (Reuters) – Eric Trump, the 33-year-old middle son of U.S. President Donald Trump, said on Monday that his wife Lara was expecting to give birth to their first child in September.

“We are adding a boy to #TeamTrump,” Trump wrote on Twitter. “It’s been an amazing year. We are blessed!”

Eric Trump and his wife, formerly Lara Yunaska, married in November 2014 at Trump’s Mar-a-Lago resort in Palm Beach, Florida after dating for six years. Lara is also 33 years old, according to People magazine.

The baby boy, the president’s ninth grandchild, is due in September.

The couple told People they were still deciding on a name for their son.

“We really loved the name Charlie, but we’d already named our dog that, so it’s out,” Eric Trump said.

Eric is the third child born to Donald Trump and his first wife, the former model Ivana Trump.

A resident of New York City, Eric serves as a trustee of the Trump Organization along with his brother, Donald Trump Jr.

The president congratulated his son and daughter-in-law on the pregnancy following the announcement.

“Congratulations Eric & Lara. Very proud and happy for the two of you!,” he wrote on Twitter.

(Reporting by Laila Kearney; Editing by Andrew Hay)

Syria’s unaccompanied children biggest victims of war: UNICEF

Geert Cappelaere, Unicef regional director for the Middle East and North Africa, speaks during an interview with Reuters in Beirut, Lebanon March 15, 2017. REUTERS/Jamal Saidi

BEIRUT (Reuters) – Children have suffered the most in Syria’s six-year war, and among them the most vulnerable are those separated from their families, a senior Unicef official told Reuters on Wednesday.

Furthemore, as well as the large number of direct casualties from warfare, many more children have died or suffered from indirect consequences of the crisis including a collapse in healthcare.

“For unaccompanied and separated children the situation is even harsher than for other children, and for children in general it’s already a very, very difficult situation,” said Geert Cappelaere, Unicef regional director for the Middle East and North Africa.

Unicef, the United Nation’s agency focusing on children, issued a report on Monday on the war in Syria, which began after protests six years ago against President Bashar al-Assad.

In its report, Unicef said it had documented the deaths of 652 children last year, 20 percent more than in 2015. But Cappelaere said that represented only a small proportion of the real number of deaths.

“In 2016 every six hours a child dying or severely injured in Syria … dramatic figures. But these are only the figures we have been able to verify. We do assume that indeed the number of child casualties is really much higher,” he said.

Documenting the real impact of the war is “an impossible task,” he added.

Cappelaere returned on Tuesday from a three-day visit to Damascus, Homs and Aleppo, a city that suffered massive destruction in siege-and-bombardment fighting that culminated late last year when the army overran a last rebel-held pocket.

He was speaking to Reuters in an interview in Beirut, the capital of Lebanon, where more than a million Syrians have sought refuge from the war, including many who now live in informal, makeshift camps with few services.

Cappelaere said that in the Jibreen shelter for displaced people in Aleppo on Tuesday, each of the three newly arrived families he spoke to was carrying a child separated from its family – a measure of the extent of the problem.

“Many of these children are also undocumented. They don’t have their paper…. The problem is not only for tracing (their families), but also for registering in the shelter, the problem of registering them in the schools,” he said.

Even more than other children in Syria’s war, those separated from their families are vulnerable to exploitation.

Already about three-quarters of children in Syria are working and there is what Cappelaere called a “very rapid” rise in the number of early marriages, particularly among girls, because families cannot afford to feed and look after them.

However, there are still signs of hope amid the devastation, Cappelaere said.

“We were driving out of Aleppo yesterday – 15 minutes of driving in the midst of rubble – and suddenly we see two, three, four children with their backpacks on the way to school,” he said.

(Reporting by Angus McDowall; Editing by Hugh Lawson)

No famine in Yemen but over half on the brink: U.N.-backed report

A malnourished boy lies on a bed outside his family's hut in al-Tuhaita district of the Red Sea province of Hodaida, Yemen September 26, 2016. REUTERS/Abduljabbar Zeyad

By Tom Miles

GENEVA (Reuters) – A U.N.-backed report on Yemen has found no full-blown famine in the country but said 60 percent of Yemenis, or 17 million people, are in “crisis” or “emergency” food situations, 20 percent more than in June.

The World Food Programme said in a statement on Wednesday that the governorates of Taiz and Hodeidah along the Red Sea risked slipping into famine if they did not receive more aid. Both have long traditions as food-producing regions.

The crisis follows two years of civil war pitting the Iran-allied Houthi group against a Saudi-backed coalition, which has caused economic collapse and severely restricted the food and fuel imports on which Yemen depends.

“If humanitarian actors do not access all the people in need by the coming months, the situation may deteriorate dramatically,” the report said.

Taiz and Hodeidah governorates, home to important Yemeni ports, “have the highest rates of global acute malnutrition in the country, ranging from 17 percent in Taiz City to 25 percent in Hodeidah,” the WFP said.

“The emergency threshold set by the World Health Organization is 15 percent,” it added.

The report was written by an expert team using the globally recognized IPC methodology. The IPC, or Integrated Food Security Phase Classification, is a system of analyzing food security on a five-point scale, where five is “famine”.

The report, drawing on analysis from 69 experts from Yemen’s government and regions, the United Nations and non-governmental institutions, said 10.2 million people were at phase three, or “crisis”, and 6.8 million at phase four, or “emergency”.

The worst affected governorates – those in the emergency phase – were Lahej, Taiz, Abyan, Sa’ada, Hajjah, Hodeidah and Shabwah, it said. Taiz, where heavy fighting looks likely to continue, has seen its biggest spike in livestock and commodity prices since the war escalated in 2015.

Yemen is one of four current famine or near-famine situations, along with South Sudan, northeast Nigeria and Somalia, with more than 20 million people at risk of starvation in the next six months.

Last month the U.N. said more than $4 billion was needed by the end of March to stave off starvation in the four countries on the brink of starvation.

U.N. officials say that once a famine is officially declared, it is usually too late because large numbers of people have already died.

(Reporting by Tom Miles; Editing by Tom Heneghan)

Hungry Somali families face agonizing choice: which child to feed

Internally displaced Somali children eat boiled rice outside their family's makeshift shelter at the Al-cadaala camp in Somalia's capital Mogadishu March 6, 2017. REUTERS/Feisal Omar

By Katharine Houreld and Ben Makori

MOGADISHU/BAIDOA, Somalia (Reuters) – Somali mothers are facing an agonizing choice over how to divide their shrinking food supply among hungry children as a devastating drought kills off livestock and leaves the Horn of Africa nation facing the possibility of famine.

“If there’s a very small amount of food, we give it to those who need it the most – the youngest,” said Fatuma Abdille, who arrived in the capital of Mogadishu two weeks ago with her seven children after the family’s herd of goats perished from hunger.

The drought has shriveled grass and dried up water holes. In Bay, a key agricultural region, the United Nations says the harvest has dropped by more than 40 percent.

Now the United Nations is warning that the country risks a repeat of the 2011 famine that killed around 260,000 people. Aid workers are asking for $825 million to provide aid to 6.2 million Somalis, about half the country’s population.

The appeal comes after U.S. President Donald Trump signed a revised executive order suspending travel to the United States from six mainly Muslim nations, including Somalia. Trump has justified that measure on national security grounds. He has also said he will slash budgets for U.S. aid and diplomacy.

That could reduce the support for the new U.N.-backed government, which is fighting to overcome an Islamist insurgency. Somalia had been plagued by civil war for more than a quarter of a century.

Insecurity prevents aid workers from accessing parts of the country, so in many parts of Somalia, families from rural areas are flooding into cities in search of food.

As water sources evaporate, many families are forced to drink water infected with deadly cholera bacteria. The outbreak has affected nearly 8,000 people has killed more than 180 so far.

Mohamed Ali, 50, came to the central city of Baidoa with his seven children. He said he and his wife were getting weaker as they gave the children their share of food.

“We let the children eat first and then we follow but most of the time there’s nothing left because the food is not enough,” he told Reuters in a makeshift camp where families had stretched material over sticks and wire.

Abdille, the mother in the capital, said she watched her 9-year-old son give his younger siblings his portion of food with mixed feelings of sadness and pride.

“He is making a sacrifice,” she said, gesturing to the solemn boy beside her. “I feel proud.”

(Editing by Julia Glover and Alison Williams)

U.N. head: drought-stricken Somalia needs help to avoid famine

U.N. Secretary general Antonio Guterres addresses a news conference after his meeting with Somali President Mohamed Abdullahi Mohamed (L) in Somalia's capital Mogadishu March 7, 2017 REUTERS/Feisal Omar

By Katharine Houreld

MOGADISHU (Reuters) – Rich countries must do more to stop drought-stricken Somalia from sinking into famine, the head of the United Nations said on Tuesday, warning terrorism would increase without aid.

“If you want to fight terrorism, we need to address the root causes of terrorism. We need to bring peace and stability to a country like Somalia … It’s the best way for rich countries to protect themselves,” U.N. chief Antonio Guterres told a news conference in Mogadishu.

The United Nations is asking for $825 million to provide aid to 6.2 million Somalis, about half the country’s population.

“I am not appealing for the generosity of the rich, I am appealing for the enlightened self-interest of the rich,” said Guterres.

His appeal comes a day after U.S. President Donald Trump signed a revised executive order suspending travel to the United States from six mainly Muslim nations, including Somalia. Trump, who has justified that measure on national security grounds, has also said he will slash budgets for U.S. aid and diplomacy.

Those policies will hit Somalia hard, after more than 25 years of civil war and an ongoing battle between its U.N.-backed government and an Islamist insurgency.

The current drought is threatening to turn into famine, with at least 360,000 Somali children severely malnourished, meaning they need extra food to survive.

“If we don’t have rain in the coming two months this could be a humanitarian crisis that could be the same as we had in 2011, when we lost 260,000 people,” said Somali President Mohamed Abdullahi Mohamed.

Families from rural areas are moving to cities to search for food as animals die and water sources evaporate, forcing many to drink water infected with deadly cholera bacteria.

Asha Mohamed, 18, brought her two young daughters to the capital after the family’s sheep and goats died.

“When we got food, first we fed the children. We would only eat afterwards if there was enough,” she said.

Her neighbor, Medina Mohamed, said she must divide her food to ensure her smallest children and disabled son are fed first.

“The others don’t understand,” she said. “Everyone wants to eat.”

Low rainfall in neighboring Kenya has also left 1.3 million people in need of food aid there, while severe drought prompted water restrictions in South Africa at the end of last year and North Africa faced its worst drought in decades.

(Reporting by Katharine Houreld; Editing by Julia Glover)

Somalia says 110 dead in last 48 hours due to drought

By Abdi Sheikh

MOGADISHU (Reuters) – Some 110 people have died in southern Somalia in the last two days from famine and diarrhea resulting from a drought, the prime minister said on Saturday, as the area braces itself for widespread shortages of food.

In February, United Nations children’s agency UNICEF said the drought in Somalia could lead to up to 270,000 children suffering from severe acute malnutrition this year.

“It is a difficult situation for the pastoralists and their livestock. Some people have been hit by famine and diarrhea at the same time. In the last 48 hours 110 people died due to famine and diarrhea in Bay region,” Prime Minister Hassan Ali Khaire’s office said in a statement.

“The Somali government will do its best, and we urge all Somalis wherever they are to help and save the dying Somalis,” he said in the statement released after a meeting of a famine response committee.

In 2011, some 260,000 people starved to death due to famine in Somalia.

The country also continues to be rocked by security problems, with the capital Mogadishu and other regions controlled by the federal government coming under regular attack from al Qaeda-linked al Shabaab.

(Reporting by Abdi Sheikh; Writing by George Obulutsa; Editing by Hugh Lawson)

Venezuela’s epileptic patients struggle with seizures amid drug shortage

Miguel Anton (C) feeds his son Jose Gregorio Anton, 11, a neurological patient being treated with anticonvulsants, at their house in La Guaira, Venezuela February 20, 2017. REUTERS/Carlos Garcia Rawlins

By Andreina Aponte

MAIQUETIA, Venezuela (Reuters) – Venezuelan plumber Marcos Heredia scoured 20 pharmacies in one day but could not find crucial medicines to stop his epileptic 8-year-old from convulsions that caused irreparable brain damage late last year.

The once giggly and alert boy, also called Marcos, could no longer sit on his own and began to shut off from the outside world.

“I called people in the cities of San Cristobal, Valencia, Puerto La Cruz, Barquisimeto, and no one could find the medicine,” Heredia, 43, said in the family’s bare living room in a windy slum overlooking an international airport in the coastal state of Vargas.

“You can’t find the medicines, and the government doesn’t want to accept that.”

Heredia ended up traveling 860 km (540 miles) by bus to the Colombian border to pick up medicine a cousin had bought him in the neighboring country. He was back at work the next day.

Venezuela’s brutal recession is worsening shortages of medicines from painkillers to chemotherapy drugs.

With 85 of every 100 medicines now missing in Venezuela, anti-convulsants are among the toughest drugs to find, Venezuela’s main pharmaceutical association said.

An estimated 2 million to 3 million Venezuelans suffer from epilepsy at some point in their lives, according to Caracas-based support organization LIVECE. Patients have been struggling to find specific anti-convulsive medicines as far back as 2012.

Due to untreated convulsions, progress has evaporated for otherwise functional people and those with severe disabilities who had managed to improve their mobility or speech.

Like Heredia, patients and families try anything they can to get hold of drugs: barter diapers, frantically engage in WhatsApp groups created specifically for pharmaceutical exchanges, use expired medicines or, if they can afford it, ask friends to bring them in from abroad.

But the shortages are so extreme that patients sometimes take medicines ill-suited for their conditions, doctors warn.

Neurologist Beatriz Gonzalez of LIVECE said she was worried about epileptic mothers giving birth to deformed children because they take the wrong medicine, or losing the child because they cannot find the drugs.

‘HEART IN MY MOUTH’

The problem goes much further than just those with epilepsy. Unexpected convulsions can also afflict feverish children, accident victims or people with other neurological conditions.

Two-year-old Carlos Baute unexpectedly started to shake and choke when he had a fever in January. Holding his tongue down with two fingers to keep him from swallowing it, his mother visited multiple underequipped hospitals before one finally treated him.

Baute’s mother said she could not find medication and was worried that her son, an active boy who has recovered and likes to dash around the clinic where he is being treated, may yet suffer another fit.

Leftist President Nicolas Maduro blames the shortages on a right-wing plot to overthrow him, but in a recent speech, he said he had approved “major dollar investments” to boost drug availability, without providing details. Venezuela is set to open three medical labs with Palestine, he added last week.

“(We must) solve this very delicate issue that has been affected by the economic war,” said Maduro.

Venezuela’s Information and Health Ministries, as well as the Social Security Institute, which oversees some hospitals and drug distribution, did not respond to requests for comment.

Compounding medical issues, some families cannot even eat properly.

Leonardo Colmenares, a 6-year-old with epilepsy and a degenerative neurological disease, weighed 10 kg (22 pounds) in mid-2016 but has lost 2 kg in six months as his mother struggles with his recommended diet.

“I sell bracelets and watches, I buy bread and resell it, I dry hair, I do pedicures, I cook, I rent out the washing machine and I iron,” said the single mother, who had to leave her job as a bank analyst to take care of Leonardo.

When Leonardo convulses, she must rush him to a hospital because she has run out of anti-convulsants.

“I can’t just go to a park (with my son) because maybe I’ll suddenly have to rush away,” Torres said, fighting back tears. “I always have my heart in my mouth.”

Click on http://reut.rs/2lp5dQM to see a related photo essay.

(Additional reporting by Alexandra Ulmer and Diego Ore in Caracas; Editing by Alexandra Ulmer, Girish Gupta and Lisa Von Ahn)