Läkare om svensk Corona-hantering: ”Ett stort brott mot de mänskliga rättigheterna”

Läkare om svensk Corona-hantering: ”Ett stort brott mot de mänskliga rättigheterna”

Jon Tallinger, vid det här laget vida känd läkare, specialist inom allmänmedicin och kritiker av den svenska vården, skriver i ett debattinlägg, att det som nu sker i spåren av Corona vad gäller det bristande skyddet av äldre handlar om ett ”stort brott mot de mänskliga rättigheterna”.

Annons

Tallinger har under de senaste veckorna gjort sig internationellt känd medialt. Bland annat intervjuades han av kinesisk television för några dagar sedan.

I sin kritik mot den svenska sjukvården riktar han in sig på bland annat behovet av syrgas till äldre, som behöver sjukhusvård med enkel syrgasbehandling. Varför ger man morfin i stället för syrgas? Varför erbjuds inte äldre sjukhusvård utan bara smärtlindring inför döden? Den frågan ställer han.

Jon Tallinger exemplifierar med äldre människor som har förvägrats syrgasbehandling och dött på boenden, eftersom de har prioriterats bort till förmån för yngre sjuka.

Tallinger kritiserar också regeringen hårt för de brister i vården som, menar han, har kommit i dagen. Liksom för att de Corona-tester som nu genomförs har begränsningar man inte talar om. Och varför har det inte gått ut tydliga rekommendationer att använda framför allt skyddsmask och -handskar offentligt?

Sverige, menar han, går på tvärs mot övriga världen och man borde jämföra de dödstal vi nu har uppnått i vårt land med de relativt sett mycket låga man har i länder med liknande folkmängd  – exempelvis Grekland eller Israel.

Här nedan följer Jon Tallingers originalinlägg i dess helhet:

”I cannot classify this as anything other than a grossly criminal human rights violation. I appeal to the World Medical Association to intervene, and make an independent investigation into what’s happening in Sweden.

Annons

On the 9th of April, Prime Minister Stefan Löfven said: “Sweden has not succeeded in protecting it’s elderly” in an interview with Svenska Dagbladet. Mr Löfven also said we had to prepare for possibly up to thousands of deaths.

As a doctor, thinking about what he has said saddens me. I do my best to protect my patients, regardless of age. But confronted with official directives for the elderly, I cannot possibly condone this. Not only as a doctor, but also as a parent, and the child to my parents whom I value and respect.

I want to inform fellow Swedes and people abroad about these official directives {1}, which includes one sent out by the region of Gävleborg titled ”Oxygen Therapy in COVID-19 Palliative Care”, dated 17th of April. They should be viewed alongside other official directives for elderly people in all regions of Sweden, and what is happening generally here concerning Covid-19 patients. Official statistics are affected by many factors, especially directives and their implications which the public are not expected to know.

Most importantly, I want you to understand certain primary ethics which doctors swear to uphold, while treating patients as people. There is a proper perspective for medical knowledge, which is why I refuse to “care-plan” the 2000+ patients that are under my supervision. Not only that, they trust me to do everything I can to save their lives. This is why I find the Swedish directives to be absolutely abhorrent. They are essentially asking me to get rid of anyone who is sick.

Is it ethical to instruct doctors to first prescribe morphine, rather than oxygen? Is it ethical to deny elderly patients oxygen in most situations? {3} How would you feel if you find out that your parent in the nursing home will not be given critical care, or curative care, or oxygen therapy, because they are deemed “irrelevant” {4}? Do you know the difference between simple oxygenation and ICU-related procedures which can involve ventilators? Are you aware Sweden has five factories producing oxygen, hence supplying oxygen outside of a hospital setting should not be an issue?

As of today, many people outside Sweden do not know getting tested for Covid-19 in Sweden has severe limitations. Sweden’s Folkhälsomyndigheten (Public Health Agency) has testing priority restricted to hospitalised patients and people working in healthcare, or people working in care of the elderly. Patients displaying Covid-19 symptoms should not be tested until they are hospitalised. This information was also noted by a Swede who has lived in USA for several years and returned to Sweden for their parent {5}. Naturally, they were outraged.

If we compare the average weekly mortality of Sweden for January to May, against the past 5 years from 2015 to 2019, what will the data reveal? What information do we currently have {6}, to extrapolate any conclusions?

Many doctors at Karolinska University hospital in Stockholm have told Dagens Nyheter triage has been made so difficult, “we are being forced to let patients die in front of our eyes,” says one doctor {7}.

Aftonbladet saw official documents instructing that patients aged 60 and above with multiple conditions, and patients aged above 80, will be denied ICU care {8} which raises questions for the rationale of such documents. When at least one-third of nursing homes have Covid-19 cases {9} and Sweden apparently has plenty of ICU beds.

In a briefing on April 15 {10}, Anders Tegnell (Sweden’s state epidemiologist) claimed: “It is not a failure for the overall strategy, but it is a failure to protect our elderly who live in care homes.” In the same briefing, he also said Sweden’s healthcare system has not been overwhelmed, and there are plenty of ICU beds available. He has claimed herd immunity is not a policy but an achievable status, this despite the World Health Organization saying such a strategy is highly skeptical. {18} Yet Tegnell is quoted saying: “We want as few people to get infected as possible, at a slow pace, so the health system can cope.”

Wearing masks, gloves or other protective equipment in public has not been recommended.

In Västernorrland, a news report claimed most of the deaths were not treated in a hospital despite availability of ICU beds. For most recent 15 deaths as of 17 April {11}, 10 happened without medical attendance. What was the conscious strategy implemented here?

According to UK’s ICNARC report dated 24 April 2020, approximately 1/3 of elderly Covid-19 patients aged 80 and above with access to ICU care survive. What are the stories of Sweden’s elderly survivors, or the stories of those who passed away?

96-year-old Eva Alinder died in a nursing home, because staff refused to take her to the hospital. Her daughter asked and received a reply along the lines of Eva being “too old”.
Eva was left to choke to death, gasping for air all night, until she died. The only treatment staff offered was an Aspirin and leaving the window open. Her daughter Catharina tried to get her tested for Covid-19 but because there was supposedly no time or staff available, so that never happened. To add further insult to injury, Eva will not even be included in Sweden’s Covid-19 mortality numbers. This because they refused to take her to the hospital.

Catharina Alinder said: ”They let my mother suffer for so many hours without oxygen, without being admitted to a hospital. She worked all her life, paid taxes, and this is the thanks she got {12}. She was down to 60% breathing capacity. It was horrible for me and my sister to see her suffer in her last 24 hours.”

81-year-old Hanna Altinsu did not have underlying medical conditions, but when he caught Covid-19 and his symptoms worsened, he was denied respiratory care {13} despite available ICU beds outside Stockholm. With such tragedies reported in Swedish media, it is not surprising to hear the story of Turkey airlifting 47-year-old Turkish citizen Emrulah Guluksen out of Sweden, and back to Turkey for treatment of Covid-19. His daughter Leila Gulusken posted a call for help on Facebook after her father was supposedly denied treatment.

Can you explain the rationale for instructing doctors or nursing home staff to administer morphine, while denying oxygen to elderly patients with Covid-19? Are there any other countries with such specific shocking directives for their nursing homes or elderly patients?

I interviewed Latifa Löfvenberg for a witness statement, which I have shared on my Youtube channel {23}. Latifa is a nurse who worked in a government-funded nursing home in Gävleborg, and is no longer employed there due to her testimony. Part of her views have been reported in yesterday’s new BBC article titled “Coronavirus: What’s going wrong in Sweden’s Care Homes?”

She has testified to old people being left to choke to death for days on end. 65-year-old patients struggling with breathing difficulties, but being refused oxygen. She explained being instructed to administer Morphine and a muscle relaxer, Midazolam, which helps relieve anxiety while the patients slowly suffocate, sometimes taking days to die.

If an elderly patient eventually loses the fight with Covid-19, I say as a doctor that it is far more humane to let them die of narcosis and carbon dioxide after we have done our best to save the patient, instead of resorting primarily to morphine and breathing complications when they have contracted Covid-19. All while denying them oxygen therapy and necessary medical attention.

There are specific definitions and ethical considerations in the medical field which I wish to point out, that many are unaware of. These are fundamental reminders of why doctors do our best for our patients as people, and not statistics.

Palliative care is not solely end-of-life care. Palliative care has specific definitions, principles and requirements. According to the World Health Organisation (WHO), it includes {14}:

~ Affirms life and regards dying as a normal process
~ Intends neither to hasten or postpone death
~ Offers a support system to help patients live as actively as possible until death
~ Uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated
~ Will enhance quality of life, and may also positively influence the course of illness

I also wish to raise the issue of principle of double effect in bioethics, also known as PDE {15}. PDE is strongly utilised in specific situations, such as euthanasia, abortions when the mother’s life is in danger, and civilian deaths in war.

Euthanasia is illegal in UK. Passive euthanasia is legal in Sweden since 2010, but there are limiting criteria. A health care professional can legally cease life support upon request from a patient, only if the patient understands the consequences stated by their health care provider. Informed consent from the patient is crucial. It is illegal to administer lethal substances.

When our politicians say they’ve done everything imaginable to decrease fatalities, it is a blatant lie. The Guardian {19} reported on the 19th of April that as per official guidelines, nursing home staff weren’t using even the most basic protective gear.

Experts, that are dismissed as nation-traitors in our most established media {20} are forced to turn abroad to international outlets to be heard. It was to The Guardian {21} that Prof Cecilia Söderberg-Nauclér, a virus immunology researcher at the Karolinska Institute, had to turn. Not domestic outlets, as they are uninterested in asking critical questions about our strategy.

This was confirmed by Norwegian state epidemiologist, Frode Forland {22} who explained his experience with Swedish media as following: ”I’ve been interviewed by several of them, and they all ask questions about things supporting Sweden’s strategy. It feels like they want to support their own government, but Sweden is going against the entire world on this.”

I suppose it is for this reason Swedish experts in virologi felt compelled to speak out about Anders Tegnell in a secret e-mail thread, rather than going public with their sentiments {24}.

Covid-19 is not a terminal illness, is treatable and not intractable in First World Countries despite lack of a vaccine at this point and mortality rates in countries such as Italy and USA, and not a definite death sentence for the elderly if they contract the virus causing Covid-19. 106-year-old British survivor of 2 world wars Connie Titchen spent 3 weeks in hospital under the care of dedicated staff and recovered {16}. 93-year-old Indian Thomas Abraham and his 88-year-old wife Mariyamma in Southern India {17} both recovered from Covid-19 with ICU care.

Can Sweden’s current approach to Covid-19 be adopted by any other country? Please consider all details in this summary, with relevant comparisons. We can compare Greece and Israel to Sweden, instead of Sweden with other Nordic countries.

Population of Greece is approximately 10.72 million and Israel’s population is 9.136 million, on the eve of 2020. Sweden is approximately 10.327 million people, on the eve of 2020. Sweden’s population density in 2019 is 24 people per km2, Greece is 81 people per km2, Israel is 386 people per km2.
Sweden is currently at 23,332 cases of infection and 3225 deaths.

Greece is currently at 2710 cases of infection and 151 deaths.
Israel is currently at 16, 458 cases of infection and 248 deaths.
What do these numbers tell you about Sweden’s approach? If Sweden’s population density is the same as Israel or Greece, what would be the respective numbers, at those population densities? I invite the experts to do the maths for these questions.

I appeal to journalists in any country and the global public to please help me share these truths, so you can see Sweden’s official statistics with sufficient context instead of too many articles providing inadequate context or details. Please help me change ongoing policies in Sweden’s nursing homes and hold accountable those who are creating grossly criminal human rights violations through these absurd directives, to help everyone in Sweden.”

Jon Tallinger

 

Källor:

{1} https://imgur.com/Mo0e0ee
English translation, document found at bottom of the article: https://rairfoundation.com/exclusive-swedish-doctor-pleads-for-help-govt-denies-elderly-coronavirus-patients-life-saving-oxygen-watch/

{2} https://nyheteridag.se/socialstyrelsen-forbereder-sortering-av-manniskor-som-ska-lamnas-att-do/

{3} https://rairfoundation.com/exclusive-swedish-doctor-pleads-for-help-govt-denies-elderly-coronavirus-patients-life-saving-oxygen-watch/

{4} https://sverigesradio.se/sida/artikel.aspx?programid=99&artikel=7458165

{5} https://slate.com/news-and-politics/2020/04/sweden-coronavirus-response-death-social-distancing.html

{6} https://www.thelocal.se/20200427/sweden-records-highest-weekly-mortality-since-the-turn-of-the-century

{7} https://www.dn.se/sthlm/lakare-vi-tvingas-till-harda-prioriteringar/

{8} https://www.expressen.se/nyheter/coronaviruset/ingen-intensivvard-for-personer-over-80/
https://www.aftonbladet.se/nyheter/samhalle/a/lAyePy/dokument-visar-de-prioriteras-bort-fran-intensivvard

{9} https://www.independent.co.uk/news/world/europe/sweden-coronavirus-lockdown-doctor-death-certificates-latest-a9462796.html

{10} https://qz.com/1842183/sweden-is-taking-a-very-different-approach-to-covid-19/

{11} https://www.svt.se/nyheter/lokalt/vasternorrland/smittskyddslakaren-att-folk-i-dor-covid-19-utanfor-sjukvarden-ar-en-medveten-strategi

{12} https://www.expressen.se/nyheter/coronaviruset/hallaans-sorg-mamman-dog-i-misstankt-corona/

{13} https://www.svt.se/nyheter/lokalt/sodertalje/broderna-forlorade-sin-pappa-i-covid-19-fick-inte-intensivvard

{14} https://hospicecare.com/what-we-do/publications/getting-started/5-what-is-palliative-care

{15} https://plato.stanford.edu/entries/double-effect/

{16} https://www.theguardian.com/world/2020/apr/15/woman-106-leaves-hospital-after-being-treated-for-coronavirus

{17} https://www.scmp.com/week-asia/health-environment/article/3083595/coronavirus-survivors-aged-93-indian-man-did

{18} https://www.businessinsider.com/herd-immunity-few-people-have-had-the-coronavirus-who-2020-5?r=US&IR=T

{19} https://www.theguardian.com/world/2020/apr/19/anger-in-sweden-as-elderly-pay-price-for-coronavirus-strategy

{20} https://www.expressen.se/kultur/victor-malm/coronahaveristerna-ar-en-skam-for-sverige/

{21} https://www.theguardian.com/world/2020/mar/30/catastrophe-sweden-coronavirus-stoicism-lockdown-europe

{22} https://www.svd.se/norska-kritiken-giesecke-borde-vara-mer-odmjuk

{23} https://www.youtube.com/watch?v=IFVarj_niMw

{24} https://www.svt.se/nyheter/inrikes/experter-kritiserar-anders-tegnell-i-intern-mejltrad-blodigt-allvar

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