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Desta Gebeyehu
(PhD) entered the Arat Kilo Campus of Addis Abeba University on
April 24, 2007, looking forward to evaluate group assignments he
gave to his third-year "education physics" students. Two among his
69 students made their presentation on "heat and thermodynamics"
that morning, writing on the blackboard, inside classroom number
302, in the Freshman Building.
He called on
Ahmed Abdurahman, a 21-year student and native of Bedessa, 363Km
east of Addis Abeba, toward the town of Harar. Unable to hear a
response, he was prompted to call another student, Afework, to come
to the front. Then, from the back, Ahmed appeared, walking slowly to
the blackboard, according to students who were in the classroom.
Looking weak and exhausted, he had tried his best, though for not
more than a minute.
"It was a
shocking and sad scene," Desta recalls.
Ahmed collapsed
in front of all his classmates and fell on the ground; four of his
classmates took him right away to a clinic inside the campus, found
only 20 metres from the class. He was admitted by a sister named
Zeritu and registered to have lost consciousness for a period of
five minutes. His blood pressure (BP) was un-recordable on arrival
at 9:25a.m, Seman Kedir, a nurse at the campus clinic told
Fortune, after examining the medical record of the student.
"At that stage,
he could not have been treated at a level of clinic," said Seman.
"We automatically transferred him to the Black Lion Hospital."
Patients at
that stage could probably be alive, such as in cases of severe
diarrhoea combined with vomiting that lead to dehydration or massive
bleeding due to accidents, according to Ephraim Abera (GP) at the
Black Lion Hospital.
"It is a
patient that needs to get immediate hospitalisation," he told
Fortune. "But in this case, he might have probably died the
moment his BP stops."
Officials at
the Black Lion Hospital were not cooperative with this newspaper to
disclose at what time the patient had arrived. However, a student
who accompanied the patient to the Hospital, who declined to
identify himself for fear of potential arrest, told Fortune
that Ahmed was pronounced dead upon arrival, the same morning on
April 24.
The body was
taken, the same day, to the Menelik Hospital for post mortal
examination by police officers from the Arada District. According to
a lawyer, Ethiopia's criminal procedure - No 1/54 Article 34/2 -
mandated police to take the deceased to a certified physician to
find out why the person has died or whether any crime was committed;
the hospital that performs an autopsy is obliged to issue a medical
testimonial to police disclosing what caused the death.
The only
medical centre in Ethiopia that has performed autopsies for the past
50 years is Menelik Hospital. Although there are two types of
autopsies - clinical or medico legal - conducted elsewhere, Menelik
Hospital does only the latter type when requested by police or close
relatives of the deceased, according to Nega Legese (MD), medical
director of the Hospital.
"We received a
death confirmed body for post mortal examination," Nega told
Fortune. "Despite a strong demand from a few students to take a
photograph of the deceased, we stopped them due to cultural
sensitivities."
The hospital
released the body to the officials of the University the next day,
while the autopsy result was handed out to police. It pronounced the
cause of death as "heart failure", according to Girma Kassa
(Commander), head of the Criminal Investigation Department at the
Addis Abeba Police Commission.
"His heart
related problems existed for a long time," Girma told Fortune.
Ahmed's body
was delivered by 11 police officers from Addis Abeba to the town of
Adama (Nazareth) on April 25. It was his father, Abdurahman
Bakri, a 75-year old man who sells knifes and Mencha to
farmers in his village, Kebele 01, Bedesa town, who received the
body and it was there that the funeral took place, on April 26, at
1:00pm.
"The police
members who brought me the body of my son told me that they did not
know what killed him," Abdurahman told Fortune. "He was my
hope. I am a poor man; if it was not for the contribution from the
villagers, I could not have afforded to transport his remains to
where he is buried."
Sadly, Ahmed's
case did not stop with his burial in this small town of Bedesa. The
news of his sudden death shocked the university community, igniting
fire among students from Arat Kilo and Sidst Kilo campuses. Many had
gathered on April 25 and demanded to see the President of the
University, Andreas Eshete (PhD), claiming that the hospital that
had performed the autopsy was into "organ harvesting", a practice in
the medical world of taking out organs from one body and
transplanting it into another patient.
At the
beginning, the President requested to see representatives of the
students protesting. Then he suggested his deputies meet them.
He had wanted
them to enter into Mekonnen Hall in order to talk to them. This was
to their liking.
"They did not
flinch from their demand to see him in the open," said a University
staffer.
When they finally met him, they told him that the "organ of the
student has been taken and sold without the knowledge and consent of
his family."
"We have asked
the money gained from the sales of the organ of our late friend to
be given to his family," a third-year student, who wanted to remain
anonymous, told Fortune.
Students were
not interested to listen to what Andrias and the University's
medical personnel instructor had to say about how and why autopsies
are performed. They were in a "hot mood", according to Andrias.
Nega of Menelik
Hospital told Fortune a dead body has organs with unviable
tissues.
"Organs of a
dead body can not be taken and transplanted to a live body," said
Nega.
His argument is
supported by a Urologist at Black Lion Hospital who told Fortune
that organ harvesting is not taking place in Ethiopia due to lack of
facilities. To move an organ from one place to another, it requires
a deep freeze icebox and precaution, in which the organ can survive
through mechanical blood circulation, said the Urologist.
A Urologist is
a physician who has specialised knowledge and skill regarding
problems of kidneys, the male and female urinary tract and the male
reproductive organs.
"It is not the
legal medical personnel (Pathologist) who picks organs for
transplantation," said the Urologist at Black Lion. "It is a
Urologist who takes the organ and transplants it, but after several
examinations being done, on the alive donor as well as the receiver.
Neither the facility nor precaution exist in our country."
There was also
another twist to the protest that had a more religious base. Some of
them were against the conduct of autopsy, claiming that Islam
prohibits such practice on the dead, according to Ahmed Temam, a
second-year student at Arat Kilo Campus.
"It is
forbidden in our religion to open a dead body," he told Fortune.
According to
Girma, however, it is in the authority of the police to identify
causes of sudden deaths through medical investigation.
It was too late
last week to inform all this to the students who were in a "hot
mood". They had resolved to stage a two-day hunger strike, being
adamant on their demands.
Their attempt
was far from being free from violence. According to several eye
witnesses, the first day's infrequent protests, due to rain, led to
members of federal police surrounding the students at both campuses.
They were observed to be restrained in spite of repeated
provocations from the students, according to a freelance reporter
who was at the scene.
"I was amazed
to see how disciplined they were the first day," this reporter told
Fortune.
The second day
was different. An attempt by a few of the students to enter the
University canteen, against the hunger strike, led to a
confrontation with those determined to stand firm by their decision;
inevitably, an intra-student fight along ethnic lines, employing
sticks and stones, erupted and continued to intensify during the
third day, April 28.
Numerous
students were admitted to the Yekatit 12 and Black Lion hospitals
with several ambulances busy transporting them. Members of the
federal police intervened to put the fight under control, thus using
force in the process. According to eye witnesses, many students were
beaten and subsequently arrested, the latter include close friends
of Ahmed.
The University
was like a ghost town, although extension and post-graduate classes
were open even in the midst of the rebellion.
"How could we
attend class, while many of our friends are under custody,
mistreated and the University does not wish to address our issues,"
said a third-year female student at the Sedest Kilo Campus.
Police declined
to disclose the number of students that remain under custody, even
to the University. Nevertheless, Commander Girma told Fortune
many were released last week, while few were still under
investigation until our press time on Friday, May 4.
"Our
investigation revealed to us that the cause of the students' protest
is not lack of awareness that human organs can not be transplanted
from a dead body," Girma told Fortune.
He believes
that to the strike was only an excuse for other underlying reasons.
Neither was he convinced the students put such claims out of
ignorance or lack of understanding about autopsy procedures.
Whatever the
students' motive for protest, Andrias said, he waits patiently for
regular class to begin and "things to get settled down" in order to
make the autopsy result public to the University community.
"I have also
decided to send it [the result] to his family," Andrias told
Fortune.
Students have
begun to come to classes as of Wednesday, May 2, with a string
presence of the most feared members of the federal police. According
to a senior staffer of the University, they remained there following
demands from students representing the various warring factions,
although Fortune was unable to confirm from the students the
validity of this assertion.
Staffers,
however, wonder how long the federal police intend to stay inside
the campuses. |