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Have Morocco's clinics and private sector doctors halted their activities amid coronavirus crisis ?
Publié dans Yabiladi le 01 - 04 - 2020

To answer this question, Yabiladi called tens of doctors and clinics in six differnet cities to determine who is still operating during the coronavirus crisis. While some of them were still open, several clinics and doctors' offices closed their doors amid the outbreak.
As Morocco is battling against the novel coronavirus, doctors working in hospitals are deemed to be the frontliners in this war. But what about doctors with their own offices and private sector clinics? To find out about the situation during the outbreak, Yabiladi randomly contacted five general practitioners and five specialized doctors in Casablanca, Rabat, Marrakech, Agadir, Tangier and Fez. Meanwhile, we contacted ten clinics in six Moroccan cities to carry out the same survey.
In Casablanca, 6 out of 10 doctors answered our calls : Two general practitioners and four specialists. The first two said they are still keeping the doors of their offices open for patients all while keeping the same schedules. As for specialists, the office of Nadia Zinoun, a gynecologist, told Yabiladi that she had reduced her working hours, receiving only women with emergencies.
The office of Naima Baaddy, a cardiologist, indicates that her medical practice only receives patients for cardiovascular emergencies. For her part, Naila Midafi, a neurologist, has restricted her work hours (10 am-1 pm) and receives, like other fellow doctors, only urgent cases. Finally, the last specialist who answered our calls in Casablanca, a dermatologist, said that he kept «a continuous schedule».
Reduced work hourse and closed offices
In Rabat, five doctors picked up the phone : two general practitioners and three specialists (a gynecologist, an ophthalmologist and a cardiologist). They have all said that they only receive urgent cases and rather check on their patients through remote consultations over the phone or the internet. «We work until 6 pm and prefer telephone consultations. We only receive urgent cases and, in case of symptoms of the coronavirus, we call 141 (Ministry of Health's hotline to provide assistance to suspected Covid-19 cases, ed.)», Anas Lakhdar, general practitioner, told Yabiladi.
Hicham Bensouda, an ophthalmologist and Hassan Elboury, a cardiologist, also said that they only treat emergencies. «I work a lot over the phone», said the first doctor, while the second added that «general consultations are postponed to maintain social distancing».
In Marrakech, only one general practitioner answered the phone. «I try to see all the patients, not just the urgent cases. On the other hand, I receive them on a drop by drop basis to make sure the waiting room doesn't get crowded», Laila Essabiri explains, adding that she «wears a surgical mask during consultations».
In Agadir, three general practitioners replied to us. They have all said that they have kept their usual work hours and try to receive patients whose states of health require consultation.
In Tangier, only one general practitioner replied, simply stating that he received his usual patients. Like in Agadir, no specialist could be reached over the phone. In Fez, none of the five general practitioners we contacted replied. Only Mohamed Boughaleb, a cardiologist, answered saying that he receives urgent cases while ensuring that his medical practice does not get crowded.
Clinics and the coronavirus
A few days later, Yabiladi tried to reach ten clinics in the same cities to determine whether they are still operating in the same way during the outbreak. Pretending that we had an emergency, we tried to figure out whether the emergency services of these clinics would agree to take us during this coronavirus period, as several people on social media claimed they were not taken care of by said services.
Out of 60 clinics, 22 agreed to receive us in their emergency department, 9 answered but told us that they could not have us and 29 did not answer on the phone.
In Casablanca, five clinics responded favorably to our request and five others did not respond at all. The clinics who responded are the Ain Borja clinic, Al Massira, Jerrada Oasis, Franceville and Mers Sultan. In Rabat, three clinics also agreed to receive us (Amal Rajae clinic, Souissi and United Nations dental clinic), while three others did not pick up the phone.
For those who refused to provide their services, the excuses were as follows : the first clinic told us that the cardiologist was absent (in that case, we had pretended to have been suffering from a heart problem); the second clinic simply told us that it could not receive us in its emergency department without providing any further explanations, the third clinic said that it did not have an emergency service on-site and the fourth clinic declared it had to be closed due to the containment measures.
In Marrakech, only three clinics agreed to provide emergency treatment for a heart problem (Le Marrakech clinic, Errahma and Polyclinique du Sud); six others did not respond and one stated that it did not have an emergency service on-site.
In Agadir, two clinics responded favorably to our request (Souss and Tifaoute clinics), one of which accepted after making sure, through a short questionnaire, that we did not have any of the commonly-known coronavirus symptoms.
Four other clinics did not respond and, finally, of the last four, two told us that their facilities were closed due to the coronavirus (with one of them stating that its staff were not present, in accordance with containment measures).
Meanwhile, in Tangier, we could not reach most of the clinics we contacted : six clinics did not answer, while the Assalam, Achifaa, Marshan and Bennis clinics did. Only one of these clinics asked to know whether we had any of the coronavirus symptoms.
In Fez, five clinics agreed to receive us in their emergency department, and five others did not respond. The five medical facilities that accepted our request were the Atlas Polyclinic, Ar-Razi, the Annakhil Polyclinic, the Taiba clinic and the Agdal clinic.
Responding to the current situation
After publishing the results of our survey, the National Council of Physicians in Morocco (CNOM) threatened to sanction doctors closing their offices without a valid reason. Speaking to Yabiladi, the head of the body said that disciplinary measures will be taken against the medical practictionners in question.
However, days later, a letter sent to the head of government Saadeddine El Othmani by the president of the National Council of the Order of Physicians of Morocco (CNOM), Mohammadin Boubekri called for financial aid and tax exemptions during the state of health emergency.
«It is unfortunate to have to announce to you that, during these difficult times, doctors from the private sector find themselves trapped between duty and the law which obliges them to keep their clinics and their offices open to the public despite the declining attendance», the body wrote in a letter.
The body urged the authorities in said letter to «find effective solutions so that clinics and medical offices benefit from tax exemptions and facilities, as well as funds from the National Social Security Fund (CNSS, ed.)».
The same letter was denounced, Wednesday, by the syndicate of the private sector doctors. In a communiqué sent to Yabiladi, the body revealed that private sector doctors have never urged CNOM to voice such demands.
Bilan Coronavirus dans le monde
259 465 151
Contaminations
5 174 661
Décès
235 366 205
Guérisons
53.8%
de la population mondiale vaccinée

Contaminations
Morts
Etats-Unis
48 092 052
775 403
Inde
34 544 882
466 980
Brésil
22 043 112
613 339
Royaume-uni
10 028 829
144 728
Russie
9 270 885
262 733
Turquie
8 654 142
75 618
France
7 586 146
119 686
Iran
6 092 822
129 280
Allemagne
5 595 674
100 123
Argentine
5 319 867
116 458
Espagne
5 111 842
87 904
Colombie
5 055 253
128 236
Italie
4 954 585
133 415
Indonésie
4 254 443
143 766
Mexique
3 867 976
292 850
Ukraine
3 530 969
87 999
Pologne
3 406 129
81 688
Afrique du sud
2 950 035
89 657
Philippines
2 828 660
47 682
Malaisie
2 602 835
30 147
Pays-Bas
2 552 933
19 546
Pérou
2 226 656
200 931
Thailande
2 081 992
20 544
Irak
2 076 922
23 725
Tchéquie
2 044 018
32 408
Canada
1 783 319
29 635
Roumanie
1 769 783
55 617
Chili
1 749 099
38 175
Japon
1 726 074
18 349
Belgique
1 659 025
26 743
Bangladesh
1 574 948
27 961
Israel
1 340 481
8 180
Pakistan
1 283 223
28 690
Serbie
1 241 492
11 385
Suède
1 194 636
15 142
Vietnam
1 155 778
24 243
Portugal
1 130 091
18 370
Slovaquie
1 105 970
14 056
Autriche
1 095 297
12 180
Kazakhstan
1 049 637
17 732
Hongrie
1 044 852
33 519
Suisse
970 753
11 435
Cuba
961 458
8 299
Maroc
949 263
14 770
Jordanie
928 256
11 429
Grèce
901 661
17 612
Georgie
822 383
11 679
Népal
820 004
11 513
Emirats Arabes Unis
741 643
2 145
Tunisie
716 702
25 356
Bulgarie
682 552
27 778
Liban
662 269
8 676
Biélorussie
645 069
4 995
Guatemala
615 725
15 870
Croatie
582 769
10 505
Azerbaidjan
578 627
7 709
Costa Rica
566 296
7 280
Sri Lanka
559 605
14 205
Arabie Saoudite
549 590
8 828
Irlande
542 146
5 652
Bolivie
531 428
19 096
Equateur
524 432
33 128
Birmanie
519 731
19 049
Panama
476 611
7 358
Danemark
467 022
2 842
Paraguay
462 453
16 365
Lituanie
460 467
6 603
Gaza
458 956
4 783
Corée du sud
429 002
3 401
Vénézuela
426 799
5 097
Koweit
413 198
2 465
Slovénie
408 623
5 114
République Dominicaine
404 754
4 195
Uruguay
398 436
6 119
Mongolia
379 544
1 976
Honduras
377 712
10 401
Ethiopie
370 712
6 708
Libye
369 455
5 414
Moldavie
360 261
8 950
Egypte
353 024
20 109
Arménie
335 738
7 379
Oman
304 514
4 113
Bahreïn
277 481
1 394
Bosnie/Herzégovine
271 323
12 386
Singapoure
257 510
678
Kenya
254 816
5 332
Norvège
251 397
1 049
Lettonie
249 037
4 063
Qatar
242 518
611
Estonie
219 259
1 763
Nigeria
213 677
2 974
Macédonie
213 306
7 474
Zambie
210 099
3 667
Algérie
209 463
6 035
Australie
203 642
1 978
Albanie
197 776
3 063
Botswana
194 652
2 416
Ouzbekistan
191 956
1 385
Kirghizistan
182 996
2 732
Finlande
179 534
1 302
Kosovo
161 037
2 983
Afghanistan
157 032
7 306
Montenegro
155 694
2 268
Mozambique
151 503
1 940
Zimbabwe
133 747
4 703
Chypre
131 462
591
Ghana
130 920
1 209
Namibie
129 126
3 571
Ouganda
127 305
3 250
Cambodge
119 977
2 914
El Salvador
118 041
3 762
Chine
111 058
4 849
Cameroun
106 794
1 791
Rwanda
100 277
1 341
Maldives
91 046
248
Jamaique
90 905
2 365
Luxembourg
87 352
862
Sénégal
73 973
1 885
Trinité-et-Tobago
67 664
2 009
Laos
65 818
142
Angola
65 080
1 731
Malawi
61 867
2 304
Cote d'Ivoire
61 660
703
Congo (Kinshasa)
58 060
1 104
Fidji
52 474
695
Suriname
50 629
1 158
Syrie
47 558
2 719
Eswatini
46 506
1 248
Madagascar
44 072
967
Soudan
41 959
3 114
Malta
38 928
464
Mauritanie
38 881
822
Cabo Verde
38 345
349
Guyane
37 524
980
Gabon
37 223
276
Papua New Guinea
34 707
542
Guinée-Bissau
30 751
387
Belize
29 967
569
Tanzanie
26 261
730
Togo
26 219
243
Haiti
24 974
723
Benin
24 850
161
Barbade
24 432
215
Seychelles
23 197
125
Somalie
22 969
1 324
Bahamas
22 696
671
Lesotho
21 735
662
Burundi
20 351
38
Timor-Leste
19 820
122
Maurice (Ile)
18 979
240
Congo (Brazzaville)
18 837
349
Tajikistan
17 493
125
Islande
17 152
35
Nicaragua
17 152
212
Mali
17 096
601
Taiwan*
16 544
848
Andorre
16 426
131
Burkina Faso
15 514
265
Brunei Darussalam
14 771
97
Guinée équatoriale
13 547
170
Djibouti
13 503
186
Sainte-Lucie
12 927
279
Sud Soudan
12 701
133
République Centrafricaine
11 708
101
Nouvelle-Zélande
10 790
41
Gambia
9 988
342
Yémen
9 972
1 942
Erithrée
7 250
57
Niger
6 902
248
Guinée-Bissau
6 438
146
Sierra Leone
6 400
121
Grenada
5 880
200
Saint-Marin
5 872
93
Liberia
5 819
287
République Dominicaine
5 642
35
Saint Vincent and the Grenadines
5 446
74
Tchad
5 107
175
Comores
4 478
150
Liechtenstein
4 396
61
Antigue et Barbuda
4 138
117
Sao Tome and Principe
3 731
56
Monaco
3 612
36
Saint Kitts and Nevis
2 774
28
Bhutan
2 633
3
Summer Olympics 2020
865
0
Diamond Princess
712
13
Holy See
27
0
Iles Salomon
20
0
MS Zaandam
9
2
Palau
8
0
Vanuatu
6
1
Iles Marshall
4
0
Samoa
3
0
Kiribati
2
0
Micronésie
1
0
Tonga
1
0
Source: Université Johns Hopkins WHO


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