March 1988 - 1999
March 1988
88 infants die from causes inexplicable in a single month. The situation is described as medical malpractice.
May 1989
Over
200 sick children in orphanages are sent to the pediatric ward of the
Municipal Hospital Constanta, a particularly isolated area in the
basement of the hospital is prepared quickly, "where no one except a few
specialists come from the department of pediatrics, dressed like
astronauts' and whose entrance was protected by a wall built to block the new looks from the street. The mortality rate is high and new cases are diagnosed fecare day. Because
of long policy of treating these issues as state secrets, we can not
know how many children are infected with HIV or how many have already
died of AIDS at the present time. Estimates speak of 7,000 to 10,000 people living in the '80s. What
is sure is that Romania was then and remains today the only country in
the world with a greater number of children infected with HIV than
adults.
February 1990
With
the fall of Ceausescu in December 1989, the international media and
NGOs can enter Romania and stories start appearing about the HIV
epidemic in children. Many companies,
officials from hospitals, foundations and volunteers receive a first
insight into the torment of these children in Romania in general and
children infected with HIV in particular. Romanians
- including health officials - are starting to speak for the first time
about these children and AIDS, but public discussions are still
limited.
1990-1992
Connections
are made through the hospital with many international NGOs and private
donors to help address critical needs of the growing number of children,
including basic drugs (as in a specific HIV drugs were not yet
available), clothing, food, education and incentives for development, shelter for abandoned children in homes, terminal care, etc. Because of all these efforts was taught a valuable lesson: that AIDS is not dead, "at least not immediately and without hope."
1992 - 1994
Department
of Paediatrics of Municipal Hospital operates a clinic that day in one
room, taking care of hospitalized children suffering from AIDS. Treatment
is available only for opportunistic infections and fatigue syndrome is
treated only by proper nutrition but reduced medication. Many
children suffering from AIDS live in the hospital simply because they
are rejected by other state programs, and homes are full. Conditions in hospitals are terrible, because facilities were not properly maintained or renovated since 1970. Romanian
authorities are beginning to recognize the increasingly more on the
public that HIV / AIDS is a problem the whole society and it launched a
national anti-AIDS program. It will take three years to establish regional centers with the support of WHO HIV.
1995
AZT (zidovudine) is the first drug approved for AIDS in Romania - five years after it was available on the American market.
1996-1997
After
what was presented at international medical meetings, Dr. Rodica aunt
invites him Dr. Mark Kline, professor, department of pediatric
infectious diseases at Baylor College of Medicine in Houston, to visit
children in hospital where she worked as director of Constanta the department of pediatrics. Dr. Kline remembers, "At the time of my career, I thought I'd seen everything ... Even
thought I knew everything there was to know about HIV in children, but I
realized at that moment that this disease have a terrible impact on
children in poor countries. I could not remove it from my mind.. " Dr.
Kline has decided after this visit that changed his life to engage in
care and treatment to help children with HIV / AIDS in Constanta. He
initiated a program with colleagues at Baylor College of Medicine to
train doctors and nurses in Constanta so provide the best care possible
for their patients children.
1998-1999
Arrival of Dr. Kline and the Baylor team was beginning a new chapter in the lives of HIV infected children in Constanta. However, there still exist problems in the rest of the country. In
1998, the National Anti-AIDS slow progress in developing country
strategies and recommendations, for example, has installed standard
triple therapy, without it can provide continuously. Only
about two hundred of the thousand children that are known as constant
would suffer from HIV / AIDS have access to so-called protease inhibitor
drugs.