Eight UK doctors who died from virus had one thing in common

They were all immigrants. :eek:

LONDON — The eight men moved to Britain from different corners of its former empire, all of them doctors or doctors-to-be, becoming foot soldiers in the effort to build a free universal health service after World War II.

Now their names have become stacked atop a grim list: the first, and so far only, doctors publicly reported to have died after catching the coronavirus in Britain’s aching National Health Service.

For a country ripped apart in recent years by Brexit and the anti-immigrant movement that birthed it, the deaths of the eight doctors — from Egypt, India, Nigeria, Pakistan, Sri Lanka and Sudan — attest to the extraordinary dependence of Britain’s treasured health service on workers from abroad.

It is a story tinged with racism, as white, British doctors have largely dominated the prestigious disciplines while foreign doctors have typically found work in places and practices that are apparently putting them on the dangerous front lines of the coronavirus pandemic.

“When people were standing on the street clapping for NHS workers, I thought, ‘A year and a half ago, they were talking about Brexit and how these immigrants have come into our country and want to take our jobs,’” said Dr. Hisham el-Khidir, whose cousin Dr. Adil el-Tayar, a transplant surgeon, died March 25 from the coronavirus in western London.

“Now today, it’s the same immigrants that are trying to work with the locals,” said el-Khidir, a surgeon in Norwich, “and they are dying on the front lines.”

By Tuesday, 7,097 people had died in British hospitals from the coronavirus, the government said Wednesday, a leap of 938 from the day before, the largest daily rise in the death toll.

And the victims have included not just the eight doctors but a number of nurses who worked alongside them, at least one from overseas. Health workers are stretched thin as hospitals across the country are filled with patients, including Prime Minister Boris Johnson, who this week was moved into intensive care with the coronavirus.

Britain is not the only country reckoning with its debt to foreign doctors amid the terror and chaos of the pandemic. In the United States, where immigrants make up more than a quarter of all doctors but often face long waits for green cards, New York and New Jersey have already cleared the way for graduates of overseas medical schools to suit up in the coronavirus response.

But Britain, where nearly a third of doctors in National Health Service hospitals are immigrants, has especially strong links to the medical school systems of its former colonies, making it a natural landing place.

That was true for el-Tayar, 64, the oldest son of a government clerk and a housewife from Atbara, Sudan, a railway city on the Nile.

He had 11 siblings, and one left a special impression: Osman, a brother, who became ill as a child and died without suitable medical treatment. Though el-Tayar rarely spoke of his brother’s death, he gave the same name to his oldest son.

“In my mind, I think that’s what led him to medicine,” el-Khidir said. “He didn’t want anyone else in his family to feel that.”

After graduating from the University of Khartoum, el-Tayar decided to help address a tide of kidney disease sweeping across sub-Saharan Africa. So he moved to Britain in the early 1990s to train as a specialist transplant surgeon. He returned to Sudan around 2010 and helped set up a transplant program there.

But the deteriorating political situation in Sudan and the recent birth of a son persuaded el-Tayar to settle back in Britain, where he went to work once again for the health service. Having lost his status as a senior doctor when he left for Sudan, he had taken up work filling in at a surgical assessment unit in Herefordshire, northwest of London, examining patients coming through the emergency room.

It was there that his family believes el-Tayar, working with only rudimentary protective gear, contracted the virus. Sequestered in the western London home where he loved sitting next to his 12-year-old son, he became so short of breath recently that he could not string together a sentence. While on a ventilator, his heart failed him.

Had the health service started screening hospital patients for the virus sooner or supplied doctors with better protective gear, el-Tayar might have lived, said his cousin, el-Khidir.

“In our morbidity analyses, we go through each and every case and ask, ‘Was it preventable? Was it avoidable?’ ” he said. “I’m trying to answer this question with my cousin now. Even with all the difficulties, I’ve got to say the answer has to be yes.”

Analysts warn that doctor shortages across countries ravaged by the coronavirus will worsen as the virus spreads. While ventilators may be the scarcest resource for now, a shortage of doctors and nurses trained to operate them could leave hospitals struggling to make use even of what they have.

By recruiting foreign doctors, Britain saves the roughly $270,000 in taxpayer money that it costs to train doctors locally, a boon to a system that does not spend enough on medical education to staff its own hospitals. That effectively leaves Britain depending on the largess of countries with weaker health care systems to train its own workforce.

Even so, the doctors are hampered by thousands of dollars in annual visa fees and, on top of that, a $500 surcharge for using the very health service they work for.

Excluded from the most prestigious disciplines, immigrant doctors have come to dominate so-called Cinderella specialties, like family and elderly medicine, turning them into pillars of Britain’s health system. And unlike choosier Britain-born doctors, they have historically gone to work in what one lawmaker in 1961 called “the rottenest, worst hospitals in the country,” the very ones that most needed a doctor.

Those same places are now squarely in the path of the virus.

“Migrant doctors are architects of the NHS — they’re what built it and held it together and worked in the most unpopular, most difficult areas, where white British doctors don’t want to go and work,” said Dr. Aneez Esmail, a professor of general practice at the University of Manchester. “It’s a hidden story.”

When el-Tayar moved to Britain in the 1990s, he was following a pipeline laid by the family of another doctor who has now died after contracting the coronavirus: Dr. Amged el-Hawrani, 55.

An ear, nose and throat specialist, el-Hawrani was about 11 when his father, a radiologist, brought the family in 1975 from Khartoum to Taunton, a town in southwestern England, and then Bristol, a bigger city nearby.

Many Sudanese doctors at the time were burnishing their skills in Britain before returning home or moving to Persian Gulf countries for higher wages. But el-Hawrani’s family turned their home into a staging post for Sudanese doctors interested in longer-term stays, hosting their families during exams or house hunts.

“The more the merrier,” said Amal el-Hawrani, a younger brother of el-Hawrani. “My mum always liked that.”

Being British-Sudanese in the 1980s was not easy. Race riots flared in cities across the country. Mosques were scarce. Amged el-Hawrani went to school almost exclusively with white British classmates.

The young doctor quietly stood up for his family: When someone once tried to kill a 100-year-old fern in their garden by cutting out a ring of bark, el-Hawrani snapped off branches and nailed them across the gap so that nutrients could get across.

Still, discrimination bothered him. When it came time to follow his father into medicine, el-Hawrani told his brother that he “wanted to be an orthopedic surgeon but felt that maybe because of certain prejudices he didn’t get it.”

His resolve only grew stronger after an older brother, Ashraf, a fellow doctor, died at 29 of causes related to asthma. Amged el-Hawrani discovered his brother’s body.

Before el-Hawrani’s death, on March 28, he had finally come around to the idea that his only son, Ashraf, named in his brother’s memory, would study English instead of the family trade. Ashraf said in a statement that his father “was dedicated towards his family.”

“Now he has to make his decisions about which university to go to on his own,” Amal el-Hawrani said of Ashraf. “He was expecting to have his father’s help.”

The coronavirus has taken a devastating toll on migrant doctors across Britain, leaving at least six others dead: Dr. Habib Zaidi, 76, a longtime general practitioner from Pakistan; Dr. Alfa Sa’adu, 68, a geriatric doctor from Nigeria; Dr. Jitendra Rathod, 62, a heart surgeon from India; Dr. Anton Sebastianpillai, in his 70s, a geriatric doctor from Sri Lanka; Dr. Mohamed Sami Shousha, 79, a breast tissue specialist from Egypt; and Dr. Syed Haider, in his 80s, a general practitioner from Pakistan.

Barry Hudson, a longtime patient of Zaidi in southeastern England, recalled their exam table conversations about England’s cricket team.

“He was a big figure in the community,” Hudson said. “He had a proper doctor’s manner. He didn’t rush anybody.”

For families that love to gather, grieving at a distance has been wrenching.

El-Tayar was buried beside his father and grandfather in Sudan, as he had wanted. But because only cargo planes were flying there, his wife and children could not accompany the coffin.

At el-Hawrani’s burial, an imam said a prayer before a small, spread-out crowd, and the doctor’s four living brothers and son lowered his coffin into the ground. Then they dispersed.

His brother, Amal el-Hawrani, permitted himself a single intimacy: a hug with his mother, because “I couldn’t turn that away,” he said.

Then she returned to her home in Bristol, along with a son who had visited Amged el-Hawrani in the hospital. Fearful of passing on the virus, he had to forbid her from his room to keep her from bringing in food.


Insufficient PPE?

Hatujali we slaughtered goat and enjoyed

They chose to go die for their master.

Why deny them their wish?

There is more where that came from. There are still more doctors in Egypt and Nigeria fighting to get to the west.

Well put…maybe after all this they will start treating immigrants better. But going by all the white faces pasted on the tabloids to congratulate NHS staff I doubt Britain will honour pple of colour.

It won’t happen the UK is an imperialistic country and all other nations are below them.
The NHS staff are just servants and having a few people of colour working their socks off means nothing. After all, their contribution is less than that of the windrush generation who were treated like trash. Read about the windrush scandal before engaging in wishful thinking.

We expect too much from wazungu. They owe us nothing. It takes a very short time studying in white land to realise that you are better off back home tilling your great grandfather’s farm. Unless your people are really poor, one is probably better off among his people back home. One can only take so much shit.

Waah, £270,000 to train a doctor! Bana education in UK is so expensive aje. I wanted to do an online UK course, 2 units alone and the tuition fee after relief was already over £4000. Ilibidi tu nimesare :D:D

Luke 17

7 But which of you, having a servant plowing or feeding cattle, will say unto him by and by, when he is come from the field, Go and sit down to meat?
8 And will not rather say unto him, Make ready wherewith I may sup, and gird thyself, and serve me, till I have eaten and drunken; and afterward thou shalt eat and drink?
9 Doth he thank that servant because he did the things that were commanded him? I trow not.
10 So likewise ye, when ye shall have done all those things which are commanded you, say, We are unprofitable servants: we have done that which was our duty to do.

Kutoka enzi za kale, mjakazi ni mjakazi.


Check this out. A 23 year old Filipino nurse dies due to lack of protective PPE.

A young NHS nurse who died after treating stricken coronavirus patients had fallen ill at work but was not allowed to go home because his ward was so short-staffed, his heartbroken mother claimed last night.

John Alagos, 23, the third nurse and the youngest British medic believed to have succumbed to the deadly Covid-19 virus, collapsed and died at home after an exhausting 12-hour shift.

His mother, Gina Gustilo, 50, told The Mail on Sunday her son had not been wearing the right protective clothing at work.
He returned home on Friday following a night shift, after complaining of suffering a headache and high temperature throughout the night.

A tearful Mrs Gustilo said: ‘I asked “Why didn’t you come home?” He said he had asked other staff but they said they were short of staff and they did not let him go. I said, “OK, take some paracetamol.” After a few minutes, I found him turning blue in his bed.’

Mr Alagos was treating coronavirus patients at Watford General Hospital, which last night declared a ‘critical incident’ and shut its A&E department after a problem with its oxygen supplies.

Ms Gustilo said her son’s colleagues told her he was not wearing ‘proper’ protective clothing, adding: ‘They wear PPE, but not totally protective of the mouth. They wear the normal masks.’

After finding her son unconscious in his bedroom, Ms Gustilo immediately called 999 but paramedics were unable to resuscitate him.

Very sad hata nimeshindwa kumaliza kusoma

With ksh 400,000 you can do a masters in Kenya and remain with more than ksh 150,000.

Bana! Izo course za UK bila scholarship inabidi tu unajitoa.

400,000? Masters in what?

Soma statement yangu vizuri

The average cost of a master’s degree at UON is 300k. Go figure