U.S., Cuba talk about malaria
BY CAROL ROSENBERG
GUANTANAMO BAY NAVAL BASE, Cuba -- U.S. medical officers met with
Cuban doctors earlier this month to reassure the government that
suspected terrorist prisoners are not introducing malaria into this
island, which has been free of the mosquito-borne disease for 50
years.
At the same time, Cuban medical personnel used the Feb. 8 session
just across the Northeast Gate, on Cuban territory, to brief U.S.
authorities on their efforts to control dengue fever, a
mosquito-transmitted viral disease that has been detected in nearby
Santiago Province.
''We talked about dengue, and they wanted to know what we're doing about
malaria,'' said Navy Capt.
Al Shimkus, commander of the Naval Hospital at the base. ``I think both
sides needed reassurances
that we're going by public health standards of the World Health Organization,
that we're doing the
right thing.''
FOUR INFECTED
Steps to stop the spread of malaria include impregnating the uniforms of
both prisoners and troops
who handle prisoners with mefloquin and other agents to kill the parasite
that causes the malady.
Four of the 300 prisoners at Camp X-Ray have malaria; 40 percent of Afghanistan's
population is
afflicted with the disease, Shimkus said. They are being treated to make
sure they are no longer
contagious, although they will suffer the condition for life.
The existence of dengue in Cuba is on record with the World Health Organization.
So Cuban medical
personnel ''discussed the details of their eradication process,'' Shimkus
said, including increased
sanitation efforts and pest control.
Commanders say there is little concern on the American side that dengue
will spread to this
45-square-mile base that is home to about 4,500 military and civilians.
They cite WHO literature that
says the range of the mosquito species that carries dengue is 200 to 300
yards; the nearest known
cases are more than 10 miles away.
Local U.S. and Cuban commanders have held monthly ''fence-line meetings''
since 1995 at the seam
between the Navy base and Cuban-controlled territory -- now separated by
17.4 miles of
razor-wire-topped fence and a Cuban minefield -- to keep down tensions
by alerting the others to
unusual activity.
21-GUN SALUTE
Commanders forewarned the Cuban military, for example, about a Monday lunchtime
21-gun salute in
celebration of Presidents Day.
But the Feb. 8 session was ''the first time that a real-time public health
issue has arisen around the
fence-line,'' said Tom Gerth, a State Department official assigned to deal
with the Guantánamo issues.
As of Thursday, there were 300 prisoners from Afghanistan at Camp X-Ray.
ROS-LEHTINEN INQUIRY
The officers briefed The Herald on the latest medical exchange after an
inquiry from U.S. Rep. Ileana
Ros-Lehtinen, the Miami Republican, who had expressed concern about increasing
medical contacts in
a formal letter.
The Feb. 8 discussion between ''technical experts'' lasted about 45 minutes,
Shimkus said. It was
requested by Cuban commanders. There were three U.S. representatives at
the session: a translator,
a U.S. public health officer and a preventive medicine physician. Cuba
sent three equivalent envoys.