Monday 27 June 2011

Royal College of Surgeons in Ireland (RCSI) 'concern' at plight of medics in Bahrain

THE ROYAL College of Surgeons in Ireland has expressed “deep concerns for the rights of detained medical personnel” in Bahrain in its first public statement criticizing the actions of the ruling regime in the kingdom.


THE ROYAL College of Surgeons in Ireland has expressed “deep concerns
for the rights of detained medical personnel” in Bahrain in its first 
public statement criticizing the actions of the ruling regime in the 
kingdom.

The college, which has invested €70 million in a medical campus and 
university in Bahrain, also calls for “dialogue and reconciliation” 
following civil protests that erupted earlier this year.

At least 29 people died in the protests, which were inspired by the 
“Arab Spring” demonstrations sweeping Tunisia and Egypt. And in a move 
condemned by the UN and human rights groups, Bahrain security forces 
arrested 47 medics – some of whom were trained in Ireland by the college
– accusing them of inciting the violence and mistreating patients.

The medics, who are facing military trial in Bahrain, have denied the
charges. At least one of the doctors, who was trained in Ireland, has 
alleged he was tortured in prison to extract confessions.

In a letter published in The Irish Times today , college chief 
executive Cathal Kelly writes that “punishing doctors or nurses for 
treating patients, irrespective of their background, is completely 
unacceptable”.

“Governments should not infringe upon the duties of medical 
professionals and should not target or punish those who seek to uphold 
these internationally recognized principles,” he says.

The letter from Prof Kelly follows strong criticism of the college’s 
public silence on the fate of the medics from fellow medical 
professionals over several weeks.

Amnesty International has asked the college to use its influence with the authorities in Bahrain to secure the medics’ release.

In his letter Prof Kelly says the college’s approach to date of 
minimising public statements in Ireland has been guided by what it 
judged to be most effective in Bahrain. But he says he has met senior 
government ministers in Bahrain on six occasions since February to 
discuss the matter.

“The focus of these meetings was to express our deep concerns for the rights of the detained medical personnel,” he writes.

The Royal College of Physicians in Ireland has also written a letter 
to The Irish Times today supporting calls for justice for the doctors in
detention in Bahrain.

“Hospitals should be neutral sanctuaries for the care of the ill and 
the injured and should not be used as political platforms or targets for
military activity,” it says.

Full text of the letter


Treatment of medics in Bahrain

Sir, – The Royal College of Surgeons in Ireland (RCSI) fully respects
the unequivocal right of all doctors to practice as enshrined in the 
Geneva Convention. We are very aware of and concerned about the plight 
of those detained in Bahrain.

RCSI is a not-for-profit organization. Our mandate is to focus on 
education in the health sciences. We are internationally-focused, 
working in Africa, the Middle East and Far East as well as in Ireland. 
Many of the countries have very different cultures and are at different 
stages in their political evolution. This diversity is a challenge that 
faces all organizations that work overseas.

Since the beginning of these events we have endeavoured to ensure the
safety of our 900 students and 100 staff in Bahrain, to enable our 
students to complete their programmes and to advocate for the rights of 
the arrested healthcare professionals. Our approach has been guided by 
what we have judged to be most effective in Bahrain. In support of this 
approach we have chosen to minimise public statements in Ireland.

We have attached considerable importance to ensuring the continuity 
of the education of our students. When the situation first escalated in 
February, we temporarily suspended teaching and staff continued to 
attend the university maintaining it as a focus for our students. We 
developed an evacuation plan and when the situation deteriorated we 
evacuated students and staff who wished to leave. A core group of staff 
remained in Bahrain to maintain the university and to set up and staff a
temporary AE unit for the local population in Muharraq. We developed 
contingency plans to ensure that irrespective of political unrest, our 
final medical year students would graduate on time. A delay in 
graduation for this class would mean a full year of lost employment at a
pivotal time in their careers.

Last week 53 medical doctors and 70 nurses graduated as originally 
scheduled. It was important that the graduation take place as a tribute 
to the commitment and courage of these young people. Many of these 
students are the first members of their family to attend a university 
and to obtain a degree. This degree is an avenue to an infinitely better
future for them and their families.

Medical practice is a privilege which carries rights and 
responsibilities. Doctors have a responsibility to treat all patients, 
irrespective of their background, to the highest possible standard, 
under all circumstances.

Hospitals must be politically neutral. Society has a responsibility 
to allow doctors and nurses to treat all patients in need. The 
protection and care of people wounded in conflict is a basic right 
guaranteed by the Geneva Convention. Punishing doctors or nurses for 
treating patients, irrespective of their background, is completely 
unacceptable. The World Medical Association’s International Code of 
Medical Ethics and its Medical Ethics Manual define the duties of 
physicians as including the administration of emergency care and 
adhering to principles of non-discrimination. Governments should not 
infringe upon the duties of medical professionals and should not target 
or punish those who seek to uphold these internationally recognised 
principles.

On six separate visits to Bahrain since February I have met senior 
Bahraini government ministers. The focus of these meetings was to 
express our deep concerns for the rights of the detained medical 
personnel.

The future for Bahrain has to be one of dialogue and reconciliation. 
Our own national story tells us that this will not be resolved quickly. 
We will continue to contribute through education and continue to 
advocate for just outcomes. – Yours, etc,

CATHAL J KELLY,

Chief Executive/Registrar,

Royal College of Surgeons in

Ireland,

St Stephen’s Green, Dublin 2.

Sir, – The Royal College of Physicians of Ireland (RCPI) is supporting calls for justice for doctors arrested in Bahrain.

Within the past week, the president of RCPI visited Bahrain with two 
specific objectives. First, to attend the conferring ceremony for 
graduating students of the RCSI medical school in Bahrain. These young 
doctors have managed to complete their undergraduate medical studies in 
extremely difficult, even dangerous circumstances.

Second, it was hoped that this visit to Bahrain would provide an 
opportunity for RCPI to gather some first-hand, albeit limited, 
knowledge within Bahrain itself, rather than basing an opinion solely on
third-party and media reports.

In doing so, RCPI believes it may be better-positioned to understand 
the situation in Bahrain, and less likely to place others in danger as a
result of ill-informed commentary.

Based on the conclusions we reached as a result of this visit, our 
communication with RCSI, and the range of recent international coverage 
of the situation in Bahrain, RCPI would like to make the following 
comments: It is clear that there are conflicting and trenchantly-held 
views on what actually happened in Salmaniya Hospital and the reasons 
for the arrest of the doctors in question. On the one hand, there are 
allegations that doctors abused their position and refused to provide 
care to patients because of their ethnicity. On the other hand, many 
respected international bodies, including the Office of the UN 
Commissioner for Human Rights, have rejected this position and have 
strongly asserted these doctors are innocent and that they were arrested
for providing medical care to protesters.

Either position, if proven, is unacceptable. A doctor’s first and 
most important responsibility is to care for all patients equally, 
regardless of their political or religious views. This responsibility is
at the core of their professional obligation. Equally, it is 
unacceptable that a state would arrest and prosecute doctors and other 
healthcare workers for carrying out their professional duty of care to 
any patient.

The events of the past few months in Bahrain have been shocking. 
Unquestionably, this has damaged the international reputation of Bahrain
and, sadly, has undermined the efforts towards modernization and 
reform, particularly in relation to healthcare that have been underway 
in Bahrain in recent years.

Hospitals should be neutral sanctuaries for the care of the ill and 
the injured and should not be used as political platforms or targets for
military activity. Doctors, nurses and all healthcare professionals 
should be free to treat the sick and injured in accordance with 
professional ethics without fear of intimidation, assault or 
imprisonment.

In the interests of all the people of Bahrain, and in particular 
those awaiting trial, it is essential that the judicial process now 
underway is unequivocally fair and just, and clearly seen to arrive at 
the truth of what happened. Anything less than this will do irreparable 
damage to Bahrain, its international reputation and the practice of 
medicine there. – Yours, etc,

Dr JOHN DONOHOE,

President; Prof JOHN CROWE, President-Designate; Prof FRANK MURRAY, 
Registrar; Prof CONOR O’KEANE, Treasurer; LEO KEARNS, Chief Executive 
Officer,

Royal College of Physicians of Ireland,

South Frederick Street,

Dublin 2.

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