Doctors turn militant over Venezuela’s health crisis

Patients lie in hospital beds in the hallway of Venezuelan hospital

By Corina Pons

MERIDA, Venezuela Reuters) – A dozen doctors hold a hunger strike in the corridors of an Andean city hospital. In another provincial city, hundreds of protesting medics suspend appointments.

In the capital, staff from a pediatric hospital wave placards at the entrance to a hospital pleading for aid.

Not usually active in politics, many of the OPEC nation’s 40,000 doctors are becoming increasingly militant over drastic shortages of medicines, equipment and personnel amid a punishing economic crisis.

With eight out of 10 medicines now scarce, according to the main pharmacy group, protesting doctors are demanding that President Nicolas Maduro’s socialist government declare a national health crisis and allow foreign humanitarian aid.

“I started to see patients, both in the operating theater and in the emergency ward, dying for lack of medicines,” said David Macineiras, a 30-year-old orthopedic surgeon and one of 12 doctors who went on hunger strike at the main state hospital in the western highland city of Merida.

“They arrive in bad conditions and we can’t even get adrenaline to deal with a cardiac arrest,” he said, describing the case of a woman who died for lack of adrenaline. Macineiras himself was hospitalized for four days after his hunger strike.

The protests involve a small percentage of doctors, in part because medics – especially younger ones – depend on the state to complete their residencies and studies and so have good reason to avoid conflict.

Doctors who hold high-ranking positions in public health acknowledge there are problems, but insist that none are sufficiently severe as to put patient lives at risk.

Christian Pino, a surgeon at the Merida hospital who also joined the strike, insists the opposite is true.

He recently operated on an elderly woman who due to chronic hospital shortages had to bring her own supplies, including saline solution. It ran out before the operation finished.

“In post-op, we didn’t have any serum to hydrate her, so the patient died,” he said at the hospital where stretchers packed corridors and incubators stood abandoned with handwritten signs saying they were out of service.

In June, Pino read a list of doctors’ demands in Venezuela’s National Assembly before the opposition-led legislature declared a state of medical emergency and approved channels for foreign humanitarian aid.

“I prefer to raise my voice with my colleagues than be an accomplice to this,” Pino said.

But the government-leaning Supreme Court shot down the assembly’s proposal. Government officials deny Venezuela is facing a humanitarian crisis and say there is no need for humanitarian assistance.

Maduro is fiercely proud of health advances under the 1999-2013 rule of socialist leader Hugo Chavez, and he says adversaries are exaggerating the problems now.

“There is no humanitarian crisis, I say it with absolute responsibility,” Foreign Minister Delcy Rodriguez recently told an Organization of American States meeting on Venezuela.

DEPRESSING DATA

Up-to-date data is hard to find, but what little is available points to a severe deterioration.

Health ministry statistics show that in 2015 for every 100 people discharged from state hospitals, 31 died – a rate six times higher than the previous year. Infant mortality was 2 percent of births last year, 100 times worse than 2014.

It is a huge challenge for the ruling Socialist Party which, under Chavez, ran enormously popular free health projects such as Cuban-staffed clinics in the slums but is now finding its welfare programs stretched.

According to the World Health Organization (WHO), Venezuela and Guyana were the only countries in South America to see maternal death rates worsen last year.

Health Minister Luisana Melo recently recognized health sector problems but said authorities are working to reduce the rates of infant mortality and death during childbirth.

She said shortages only affect around 15 percent of medicines and that Venezuelans tend to consume more medicine than they need to.

The government says a U.S.-backed “economic war” by political opponents and hostile business groups has caused the crisis, exacerbated by a plunge in the price of oil, which accounts for 95 percent of export revenues.

Huge lines snake around most pharmacies from before dawn, with some people staying all night to stake a place. Rowdy scenes are common, and soldiers guard the crowds.

In Merida, orthopedic surgeon Carlos Hidalgo said he joined the hunger strike after a patient arrived with an open fracture of the tibia and femur and there was no saline solution to clean the wound.

“They went to a kiosk and bought water to wash him with that,” he said. An infection set in and the patient’s leg was amputated.

“That’s why we protested, not because of our working conditions,” said Hidalgo, who makes 16,000 bolivars a month, equivalent to about $25 at the weaker of two official exchange rates and just $16 on the black market.

Some doctors are also worried about their legal liability. Medics in the city of Barquisimeto decided to ask patients’ relatives to sign a permission slip acknowledging the poor conditions they were working under.

At hospitals there, medics have held two strikes this year. Surgeries were halted on a recent day due to lack of gloves.

Idabelias Arias, the head of the emergency ward at a pediatric hospital in Barquisimeto, has had to use basic CPR (Cardiopulmonary resuscitation) to revive children for lack of adrenaline. “Doctors are doing war medicine here.”

(Writing by Andrew Cawthorne; Editing by Kieran Murray)

Hundreds arrested in Venezuela after latest bout of unrest

A man shouts during a protest over food shortage and against Venezuela's government in Caracas

CARACAS (Reuters) – Venezuelan security forces have arrested at least 400 people after the latest bout of looting and food riots in the crisis-hit OPEC member country, local officials said on Wednesday.

Violence engulfed the eastern Caribbean coastal town of Cumana on Tuesday as looters swarmed over dozens of shops and security forces struggled to maintain control.

There were unconfirmed reports on social media of several deaths in Cumana, the capital of Sucre state, and an opposition legislator from the zone said one man was shot dead.

But regional governor Luis Acuna from the ruling Socialist Party said the reported deaths were unrelated to the looting.

“There were only 400 people arrested and the deaths were not linked to the looting,” he told a local TV station, calling the looters vandals encouraged by right-wing politicians.

“I have no doubt they paid them, this was planned,” Acuna said.

Nelson Moreno, governor of Anzoategui state, which neighbors Sucre, said eight people were also arrested on Tuesday in “irregular” situations, a term that usually refers to looting.

With desperate crowds of people chanting “We want food!,” protests and melees at shops have spread across Venezuela in recent weeks, fueled by severe shortages.

Three people were shot dead in separate incidents last week, with a policeman and a soldier arrested in two cases.

According to a local monitoring group, the Venezuelan Observatory of Violence, more than 10 incidents of looting are occurring daily across the nation of 30 million people that is suffering a brutal recession and the world’s highest rate of inflation.

Venezuela’s political opposition says President Nicolas Maduro and his predecessor Hugo Chavez are to blame for failed socialist economic policies. The opposition is pursuing a recall referendum this year in an effort to remove him from office.

But Maduro, 53, says his foes are waging an “economic war” against him and seeking to foment a coup. Government officials say there is not enough time this year to organize a referendum.

Should there be such a vote in 2017 and Maduro loses, his vice president would take over – rather than a new presidential election being held – meaning the ruling “Chavismo” movement would still be in power.

(Reporting by Diego Ore, writing by Andrew Cawthorne and Sarah Dagher; editing by G Crosse)

Tropical fruits provide lifeline amid Venezuela Food Shortage

Iznaga holds mangoes and other tropical fruits while posing for a picture next to her house in La Fria

By Alexandra Ulmer

LA FRIA, Venezuela (Reuters) – Venezuela’s mango season is providing some relief during worsening food shortages that are forcing the poor to skip meals and sparking a rash of lootings.

Facing Soviet-style food lines for increasingly scarce products at supermarkets, more and more people are turning to the South American nation’s lush mango, coconut and papaya trees.

While children have always scampered up trees or tossed stones to knock down the juicy yellow mangoes, workers are now joining them during lunch breaks, and parents are making long poles to scoop up the high treats.

“Sometimes when there’s nothing in the fridge, I grab two mangoes,” said Juany Iznaga, 13, whose family is going without some meals since her mother lost a job at the mayor’s office.

“Mangoes help a little; they fill you up,” Iznaga added as she shared a slice with her younger sister in the fertile town of La Fria by the Colombian border.

Around the crisis-hit nation of 30 million, people are consuming more starch and less protein. Many say they cannot afford three meals a day.

So mango season is being feted as never before.

“Now we can’t throw anything away, not even the skin,” said homemaker Iris Garcia, 58, whose son plucks mangoes in the windy Caribbean peninsula of Paraguana.

“THAT’S WHAT WE HAVE”

As the recession reduces employment and inflation crushes spending power, street corners are increasingly brimming with informal vendors selling freshly picked fruit.

Josue Moreno, 19, quit his job four months ago at a bottled water plant where he made $7 a month on the black market rate and now sells coconuts under the leafy shade of a busy street in La Fria.

“This work is easier,” said Moreno as he chopped the fruit with a big knife, poked a straw into it and handed it over to a thirsty customer blasting Latin American reggaeton music from his pickup. “Coconuts take care of themselves; you don’t have to do anything.”

Still, sweet tropical fruits are no substitute for a proper diet, and protests are spreading as delivery trunks become an ever more elusive sight.

For two days, Adrian Vega has been eating crackers topped with mangoes from the tree in his backyard in the jungle state of Bolivar.

“And by the looks of it,” the 23-year-old student said, “I’ll be eating mangoes for several more days because that’s what we have.”

(Additional reporting by Mircely Guanipa in Punto Fijo, German Dam in Ciudad Guayana, and Manuel Hernandez in Maracaibo; Writing by Alexandra Ulmer; Editing by Andrew Cawthorne)

‘We Want Food!’ Venezuelans cry out at protest

People run away from police (on motorcycle) during riots for food in Caracas

By Efrain Otero and Marco Bello

CARACAS (Reuters) – Venezuelan security forces fired teargas at protesters chanting “We want food!” near Caracas’ presidential palace on Thursday, the latest street violence in the crisis-hit OPEC nation.

Hundreds of angry Venezuelans heading toward Miraflores palace in downtown Caracas were met by National Guard troops and police who blocked a major road.

President Nicolas Maduro, under intense pressure over a worsening economic crisis in the South American nation of 30 million, had been scheduled to address a rally of indigenous groups nearby around the same time.

The protest spilled out of long lines at shops in the area, witnesses said, after some people tried to hijack a food truck.

“I’ve been here since eight in the morning. There’s no more food in the shops and supermarkets,” one woman told pro-opposition broadcaster Vivoplay.

“We’re hungry and tired.”

The government accused opposition politicians of inciting the chaos but said security forces had the situation under control.

Despite their country having the world’s biggest oil reserves, Venezuelans are suffering severe shortages of consumer goods ranging from milk to flour, soaring prices and a shrinking economy.

Maduro blames the fall in global oil prices and an “economic war” by his foes, whom he also accuses of seeking a coup.

“Every day, they bring out violent groups seeking violence in the streets,” he said in a speech at the indigenous rally, which went ahead near Miraflores later in the day. “And every day, the people reject them and expel them.”

Critics say Venezuela’s economic chaos is the consequence of failed socialist policies for the last 17 years, especially price and currency controls.

The opposition wants a referendum this year to recall Maduro. Protests over shortages, power cuts and crime occur daily, and looting and lynchings are on the rise.

Several local journalists said they were robbed during Thursday’s chaos in downtown Caracas.

The government’s top economic official, Miguel Perez, acknowledged the hardships Venezuelans were undergoing but promised the situation would improve.

“We know this month has been really critical. It’s been the month with the lowest supply of products. That’s why families are anxious,” he told local radio.

“We guarantee things will improve in the next few weeks.”

(Additional reporting by Daniel Kai, Corina Pons, Diego Ore and Deisy Buitrago; Writing by Andrew Cawthorne and Girish Gupta; Editing by James Dalgleish; Editing by Cynthia Osterman)

Production of Coke halted in Venezuela for lack of sugar

The logo of Coca-Cola is seen on the refrigerators of a food stall on the street in Caracas

(Reuters) – The Venezuelan bottler of Coca-Cola has halted production of the sugar-sweetened beverage due to a lack of sugar, a Coca-Cola Co spokeswoman said on Monday.

Venezuela is in the midst of a deep recession, and spontaneous demonstrations and looting have become more common amid worsening food shortages, frequent power cuts and the world’s highest inflation.

Production of sugar-sweetened drinks has stopped, but output of diet drinks such as Coca-Cola light and other zero-sugar beverages continued, spokeswoman Kerry Tressler wrote by email.

“Sugar suppliers in Venezuela have informed us that they will temporarily cease operations due to a lack of raw materials,” Tressler added.

Coca-Cola Femsa, Latin America’s biggest coke bottler and operator of four plants in Venezuela, added that it was hoping the nation’s sugar inventories would recover “in the short term.”

The bottler, which gets some 7 percent of its income in Venezuela, is a joint venture between Coca-Cola and Mexico’s Femsa.

Over the past several years, the combination of price controls, rising production costs, lack of foreign exchange, restrictive labor laws, and a lack of basic inputs such as fertilizer, have resulted in a drop in Venezuela’s sugar cane production with fewer planted hectares (acres) and lower yields.

Many smaller farmers have turned to other crops that are not price controlled and thus provide greater income.

The country is expected to produce 430,000 tonnes in 2016/17, down from 450,000 tonnes the previous year, and import 850,000 tonnes of raw and refined sugar, according to the USDA.

(Reporting by Peter Henderson in San Francisco; Additional reporting by Josephine Mason in New York and Gabriela Lopez en Monterrey; Editing by Sandra Maler and Michael Perry)

Venezuela opposition slams ‘desperate’ Maduro state of emergency

Rally with Monkey Signs

By Alexandra Ulmer and Corina Pons

CARACAS (Reuters) – Venezuela’s opposition on Saturday slammed a state of emergency decreed by President Nicolas Maduro and vowed to press home efforts to remove the leftist leader this year amid a grim economic crisis.

Maduro on Friday night declared a 60-day state of emergency due to what he called plots from Venezuela and the United States to subvert him. He did not provide specifics.

The measure shows Maduro is panicking as a push for a recall referendum against him gains traction with tired, frustrated Venezuelans, opposition leaders said during a protest in Caracas.

“We’re talking about a desperate president who is putting himself on the margin of legality and constitutionality,” said Democratic Unity coalition leader Jesus Torrealba, adding Maduro was losing support within his own bloc.

“If this state of emergency is issued without consulting the National Assembly, we would technically be talking about a self-coup,” he told hundreds of supporters who waved Venezuelan flags and chanted “he’s going to fall.”

The opposition won control of the National Assembly in a December election, propelled by voter anger over product shortages, raging inflation that has annihilated salaries, and rampant violent crime, but the legislature has been routinely undercut by the Supreme Court.

“A TIME BOMB”

Protests are on the rise and a key poll shows nearly 70 percent of Venezuelans now say Maduro must go this year.

Maduro has vowed to see his term through, however, blasting opposition politicians as coup-mongering elitists seeking to emulate the impeachment of fellow leftist Dilma Rousseff in Brazil.

Saying trouble-makers were fomenting violence to justify a foreign invasion, Maduro on Saturday ordered military exercises for next weekend.

“We’re going to tell imperialism and the international right that the people are present, with their farm instruments in one hand and a gun in the other… to defend this sacred land,” he boomed at a rally.

He added the government would take over idled factories, without providing details.

Critics of Maduro, a former union leader and bus driver, say he should instead focus on people’s urgent needs.

“There will be a social explosion if Maduro doesn’t let the recall referendum happen,” said protester Marisol Dos Santos, 34, an office worker at a supermarket where she says some 800 people queue up daily.

But the opposition fear authorities are trying to delay a referendum until 2017, when the presidency would fall to the vice president, a post currently held by Socialist Party loyalist Aristobulo Isturiz.

“If you block this democratic path we don’t know what might happen in this country,” two-time presidential candidate Henrique Capriles said at the demonstration.

“Venezuela is a time bomb that can explode at any given moment.”

(Writing by Alexandra Ulmer; Editing by Alistair Bell)

Venzuela looters target chicken, flour amid worsening of shortages

A Venezuelan soldier stands guard next to people forming a line to try to buy cornmeal flour and margarine at a pharmacy in Caracas

By Anggy Polaco

SAN CRISTOBAL, Venezuela (Reuters) – Mobs in Venezuela have stolen flour, chicken and even underwear this week as looting increases across the crisis-hit OPEC nation where many basic products have run short.

Many people now get up in the dead of night to spend hours in long lines in front of supermarkets. But as more end up empty-handed and black market prices soar, plundering is rising in Venezuela, already one of the world’s most violent countries.

There is no official data, but rights group Venezuelan Observatory for Social Conflict reported 107 episodes of looting or attempted looting in the first quarter.

Videos of crowds breaking into shops, swarming onto trucks or fighting over products frequently make the rounds on social media, though footage is often hard to confirm.

In one of the latest incidents, several hundred people looted a truck carrying kitchen rolls, salt and shampoo after it crashed and some of its load tumbled out in volatile Tachira state on Thursday, according to a local official and witnesses.

Fifteen people were injured, including six security officials trying to restrain the crowd, said local civil protection official Luis Castrillon.

“There was a big scuffle … There were shots in the air and they fired tear gas,” said witness Manuel Cardenas, 40.

Such scenes are adding to an increasingly dire panorama in the South American oil exporter, where inflation is the highest in the world, the economy has been shrinking since early 2014, and there are frequent power and water cuts.

President Nicolas Maduro blames the crisis on the fall in global oil prices, a drought that has hit hydroelectric power generation and an “economic war” by right-wing businessmen and politicians.

But the opposition say he and his predecessor Hugo Chavez are to blame for disastrous statist economic policies.

They are pushing for a recall referendum this year to remove Maduro, 53, and trigger a new election.

In other looting incidents this week, a group of hooded motor bikers tried, also on Thursday, to steal some 650 sacks of flour as they were being delivered to a deposit in the nearby Andean state of Merida.

Security forces managed to stop the theft, but two National Guards and four policemen were injured in the melee, according to a local security official.

On Wednesday, looters in Merida broke into a state-run supermarket, stealing food, shelves and even doors after learning chicken was being stored there. An underwear store was plundered a day earlier in the same state.

Socialist Party officials have condemned the looters as criminals and smugglers seeking to make a quick buck from re-selling. Maduro has vowed a tough hand against violence and warned his enemies are plotting a “coup” akin to this week’s suspension of Brazilian leader Dilma Rousseff.

Critics counter that hunger and desperation are pushing people to theft, and warn the situation will only worsen barring urgent policy changes such as an easing of strict currency and price controls that have crimped imports and production.

(Additional reporting by Daniel Kai; Writing by Alexandra Ulmer; Editing by Andrew Cawthorne and Tom Brown)

Venezuela economic crisis means fewer meals, more starch

Struggling Venezuelan family

By Carlos Garcia Rawlins and Alexandra Valencia

CARACAS (Reuters) – Venezuela’s soaring prices and chronic shortages have left 65-year-old homemaker Alida Gonzalez struggling to put meals on the table.

She and her four family members in the Caracas slum of Petare now routinely skip one meal per day and increasingly rely on starches to make up for proteins that are too expensive or simply unavailable.

“With the money we used to spend on breakfast, lunch and dinner, we can now buy only breakfast, and not a very good one,” said Gonzalez in her home, which on a recent day contained just half a kilo of chicken (about a pound), four plantains, some cooking oil, a small packet of rice, and a mango.

The family did not know when they would be able to buy more.

Recession and a dysfunctional state-run economy are forcing many in the South American OPEC country of 30 million to reduce consumption and eat less-balanced meals.

In a recent survey by researchers from three major universities often critical of the government, 87 percent of the respondents said their income was insufficient to purchase food.

The study of nearly 1,500 families found rising percentages of carbohydrates in diets, and found that 12 percent of those interviewed do not eat three meals a day.

Government supporters have long pointed proudly to the improvement in eating under late socialist leader Hugo Chavez, who used oil income to subsidize food for the poor during his 14-year rule and won United Nations plaudits for it.

But President Nicolas Maduro, Chavez’s successor, has faced a collapse in the price of oil, which provides almost all foreign income. He further has blamed an opposition-led “economic war,” though critics deride that as an excuse.

Either way, Venezuelans are tired and cross.

A minimum wage is now only around 20 percent of the cost of feeding a family of five, according to one monitoring group. Lines snake around state supermarkets from before dawn.

“You have to get into these never ending lines – all day, five in the morning until three in the afternoon – to see if you get a couple of little bags of flour or some butter,” said taxi driver Jhonny Mendez, 58.

“It makes a person want to cry.”

Natalia Guerra, 45, lives in a small home in Petare with eight relatives, only one of whom has a significant salary.

She remembers buying milk for her own kids but now cannot find any for her grandchildren. “We’re a big family, and it’s constantly getting harder for us to eat,” she said.

(Writing by Brian Ellsworth; Editing by Andrew Cawthorne, Toni Reinhold)

IEA says OPEC, Russia oil output freeze deal may be ‘meaningless’

SINGAPORE (Reuters) – A deal among some OPEC producers and Russia to freeze production is perhaps “meaningless” as Saudi Arabia is the only country with the ability to increase output, a senior executive from the International Energy Agency (IEA) said on Wednesday.

Brent crude futures are up more than 50 percent from a 12-year low near $27 a barrel hit early this year, bouncing back after Russia and OPEC’s Saudi Arabia, Venezuela and Qatar struck an agreement last month to keep output at January levels.

Qatar has invited all 13 members of the Organization of the Petroleum Exporting Countries (OPEC) and major non-OPEC producers to Doha on April 17 for another round of talks to widen the production freeze deal.

“Amongst the group of countries (participating in the meeting) that we’re aware of, only Saudi Arabia has any ability to increase its production,” said Neil Atkinson, head of the IEA’s oil industry and markets division, at an industry event.

“So a freeze on production is perhaps rather meaningless. It’s more some kind of gesture which perhaps is aimed … to build confidence that there will be stability in oil prices.”

Libya has joined Iran in snubbing the initiative, and the absence of the two OPEC producers – both with ample room to increase output – would limit the impact of any success in broadening the freeze at the April meeting.

The rise in output from Iran in the first quarter post-sanctions has been in line with IEA’s expectation of 300,000 barrels per day (bpd), Atkinson said, adding that Tehran’s output could rise again by the same amount by the third quarter.

“Iran has not exactly been flooding the market with lots more oil. It seems to be far more measured,” Atkinson said.

It will take a while for Iran to regain its pre-sanctions share in Europe, where markets have been taken over by Saudi Arabia, Russia and Iraq, he added.

The IEA, energy watchdog for the Organisation for Economic Co-operation and Development (OECD), expects the wide gap between supply and demand to narrow later this year, paving the way for an oil price recovery in 2017.

“We think the worst is over for prices … Today’s prices may not be sustainable at exactly $40 a barrel, but in this mid-$30s and upward range, we think there will be some support unless there’s a major change in fundamentals,” Atkinson said.

(Reporting by Florence Tan; Editing by Tom Hogue)

Venezuela Pet Shops and Supermarkets Struggling to Stock Shelves

Venezuelan shoppers who were already facing long lines for staples like flour and toilet paper are now struggling to even get food or medicine for their pets.

Pet owners are now forced to stretch their food supply and police units are now having to ration food for canine units.

The chronic product shortages for both pets and people are likely caused by the combination of a failing state-led economic model and the falling of oil prices. Factories are also having issues producing pet feed because they cannot receive imported raw ingredients like soy and white corn.

“I only have two or three kilos (of dog food) left,” said Maura Morales, 41, as she searched a local pet store for food for her dog Milo. “If I can’t find more, I’ll give him rice and carrots.”

Pet owners also cannot make homemade food consisting of chicken or beef because those meats are also in short supply.

Venezuela’s division of Purina stated they are continuing to supply the market by offering less varieties of dog and cat food, so it can maximize its rare raw materials.

The pet food shortages have also made it difficult for animal shelters to find families to adopt stray dogs and cats.

“We have around 170 cats and dogs that are seeking homes, said Mariant Lameda of the non-profit Canine Support Network. “The situation with pet food is critical, and obviously this is affecting adoptions.”