The infant mortality rate in Venezuela rose 30 percent last year. Data released by the government reflects how the country's deep-seated economic crisis has affected the population's health.
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The Venezuelan Health Ministry announced this week that there were just under 11,500 child deaths last year, a significant rise from 2015.
The ministry cited neonatal sepsis, pneumonia, respiratory distress syndrome, and prematurity as the main causes.
The health report, the first statistics released by the government of President Nicolas Maduro in almost two years, reflects how Venezuela's economic and political crisis has been a catastrophe for the health system.
Once the region's most prosperous country, recession and currency controls have slashed Venezuela's supply of medicines and vaccines, as well as basic provisions such as food and hygiene products. Doctors have also emigrated in droves, leaving patients with second-rate health treatment, if any at all.
Venezuela on the brink
Venezuela is facing collapse amid multiple crises. DW takes a look at what has brought the oil-rich nation to its knees.
In March 2017, violent protests erupted across the country in response to a Supreme Court decision to strip the legislative branch of its powers. Amid an international outcry, President Nicolas Maduro reversed the decision, but it was too late. Thousands continued to take to the streets, calling for new elections. More than 100 people were killed in clashes with security forces.
Image: Getty Images/AFP/J. Barreto
Hunger, a growing problem
The violence added to the ongoing economic and political crisis in Venezuela. Many Venezuelans spend more than 30 hours a week waiting in lines to shop, and are often confronted with empty shelves when they finally enter a store. President Maduro blames the crisis on US price speculation. The opposition, however, accuses the Socialist government of economic mismanagement.
Image: picture-alliance/AA/C. Becerra
Health care in crisis
The crisis has even affected health care in the oil-rich nation. Venezuelans often head to Colombia to collect medical supplies to send home, as seen in this picture. Hospitals across Venezuela have compared conditions to those seen only in war zones. As patient deaths rise, health officials have sounded the alarm on the rise of malaria and dengue fever.
Image: picture alliance/dpa/M.Duenas Castaneda
Power grab
By July 2017, Venezuela's pro-government Constituent Assembly was established. For observers, it had all the hallmarks of a power grab. The new body adopted the authority to pass legislation on a range of issues, effectively taking away the powers of Venezuela's elected congress, which was under the opposition's control. The move drew wide international condemnation.
Image: picture-alliance/dpa/P. Miraflores
The West sanctions
In response to the political crisis, the United States and European Union imposed a series of sanctions against ruling officials. The US blacklisted members of the Constituent Assembly and froze all of Maduro's assets that are subject to US jurisdiction. The EU banned arms sales to the country.
Image: picture-alliance/dpa/AFP/T. Schwarz
Government victorious in regional elections
In October 2017, Venezuela held two votes: regional elections and elections for governors, which were long overdue. The opposition boycotted the vote, but then split, as some candidates and small parties chose to participate. This caused a deep rift within Maduro's opponents. The government went on to sweep the vote, which detractors say was unfair and heavily favored the regime.
Image: picture-alliance/AP Photo/A. Cubillos
Debt default
In November 2017, the oil-rich, cash-poor nation faced its day of reckoning. Credit ratings agencies declared Venezuela and its state-run oil company in "selective default." But Russia offered to restructure the South American country's debt to ensure Caracas pays its other creditors. US and EU sanctions, however, limited the chance of an agreement.
Image: picture-alliance/AP Photo/A. Cubillos
Presidential elections scheduled
The National Assembly announced in January 2018 that it would grant Maduro's call for snap presidential elections. The electoral authority, CNE, held the elections on May 20. The EU, the US and 14 Latin American nations warned that they would not recognize the results. The mainstream MUD opposition alliance boycotted the vote, leaving only one possible outcome.
Image: Getty Images/AFP/F. Parra
Maduro wins ...
Maduro was re-elected to a second six-year term with about 68 percent of the vote. Turnout was only 46 percent, according to electoral authorities. However, the MUD opposition alliance put turnout at less than 30 percent. The Organization of American States (OAS) called the elections neither free nor fair.
Image: picture-alliance/AP Photo/A. Cubillos
... Guaido assumes power
But weeks into the new year, the situation took a drastic turn. On January 23, 2019, parliament president Juan Guaido declared himself interim president of Venezuela — a move that was quickly recognized by US President Donald Trump. Maduro called it a US-backed "coup." Days later, the US sanctioned Venezuela's state oil firm, while Guaido staked his claim on the country's foreign assets.
Image: Imago/Agencia EFE
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The Venezuelan Pharmaceuticals Federation estimates some 85 percent of drugs and medicine are either unavailable or running short. In March, Maduro pleaded with the United Nations for aid to ease the country's medicine shortages.
While citizens are all too aware of Venezuela's health crisis, this week's report still sent shock waves through the medical community.
"The striking part is turmoil in almost all the categories that this bulletin addresses, with particularly significant increases in the infant and maternal health categories," Dr. Julio Castro, an infectious disease specialist and a critic of the government's health policies, told Reuters news agency.
Doctors also criticized the government for spontaneously publishing the data. Such health bulletins, they said, should be published in a timely manner to alert medical practitioners of national trends or threats.
Maternal mortality, or deaths while pregnant or within 42 days after giving birth, also rose by over 65 percent in 2016 to 756 cases, according to the report.
Another major concern flagged by the report was the resurgence of diseases that had previously been under control. Diphtheria, for instance, a bacterial infection that is fatal in around 50 percent of cases, had been wiped out in Venezuela in the 1990s and has become increasingly rare the world over thanks to immunizations. However, data showed that the illness had affected 324 Venezuelans in 2016, up from the no cases the year before.
Cases of malaria, also once thought to have been eradicated in Venezuela, rose by more than 75 percent in 2016 from the year before, affecting almost 250,000 people. The tropical mosquito-borne disease was reportedly most common in the rural Bolivar state.
Cases of Zika also rose to almost 60,000 cases last year from just 71. These numbers reflected the spread of the virus across South America, particularly in Brazil, between 2015 and 2016.
More protesters killed in Venezuela unrest
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Crises and protests
The opposition has blamed the Maduro government for Venezuela's deep-seated crisis and shortage in basic supplies.
However, a decision by Venezuela's Supreme Court at the end of March to strip the opposition-controlled legislative branch of its powers prompted violent protests across the country.
Two more deaths were reported by the Interior Ministry Wednesday night, taking the total death toll to 38 since protests broke out in April. A 27-year-old was shot and killed in the capital, Caracas, and a 38-year-old died after being shot in the head two days earlier in the western city of Merida, Interior Minister Nestor Reverol said.
Each side blames the other for the violence.
dm/kms (AFP, Reuters, epd)
Protests paralyze Venezuela's society
DW talked to Venezuelan journalist and photographer Ivan Reyes whose images highlight the stories of the people marching against the government.
Image: Ivan Reyes
Journalism born of need
"I’d been working as a journalist for a year when the protests started in 2014. Many independent media have come into existence in the last two years due to the government censorship, and that's how I became a reporter," Ivan Reyes told DW. He started capturing the new wave of riots on a daily basis at the end of March.
Image: Ivan Reyes
Welcome to the stone age
The ruling by the Supreme Tribunal of Justice, which took away immunity from opposition parliamentarians, set off a surge of protests paralyzing the country. Although the protests were peaceful at first, government forces soon started throwing stones into the crowds. "Seriously, the police were given stones! This man, Lino Rivera, was hit by one on April 4," Reyes said.
Image: Ivan Reyes
Highway to hell
The marches take place all over Caracas every day, but they usually end on the city highways. This photo shows two officers of the national guard shooting tear gas grenades into the lines of protesters. "The projectiles should be shot above people’s heads - so the international laws says," says Reyes. "But the armed forces shoot straight into the demonstrators."
Image: Ivan Reyes
"We are all Juan"
Juan Pablo Pernalete, 20, died after being hit by a projectile on April 26. The death of the student of Universidad Metropolitana triggered angry protests in the following days. "People were chanting 'Todos somos Juan! Todos somos Juan!'" ("We are all Juan") Reyes told DW. Congressmen Miguel Pizarro and Carlos Paparoni and the Governor of Miranda Henrique Capriles all came to pay tribute.
Image: Ivan Reyes
Evasive action
Defense has become the key element for survival. "The people seem to be organized better every day," says Reyes. Against the wishes of the protest leaders, several groups have started using DIY weapons and even Molotov cocktails against the government forces, as seen in this photo. "It’s a battle they can’t win," says Reyes.
Image: Ivan Reyes
Heros of the day
"Jesús was one of those injured in the demonstrations on May 4. He was gasping and stuttering after he got hit in the head. People in the crowd spotted him and carried him to one side where paramedics gave him first aid. The members of Primeros Auxilios UCV are the real heroes of history," Reyes said of the group of doctors who go to the protests every day to help the injured.
Image: Ivan Reyes
The wrath of the women scorned
On May 6, a women’s protest against the regime was organized by Mesa de la Unidad Democrática, Venezuela's opposition party. The march wasn’t allowed to reach its destination, the Ministry of Justice, as they were halted by female officers of the national police. Former politician María Corina Machado and the student president of Universidad Central de Venezuela were among the protesters.
Image: Ivan Reyes
Ode to Venezuela
This image shot by Reyes went viral right after it was published by the author on May 8. The picture is one of the strongest snapshots from the Venezuelan protests, showing a young man walking down a road playing the Venezuelan anthem. "I don’t see the protests ending soon," said Reyes. "Let’s see which side gets tired first."