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Deaths of Two Algerian Resident Doctors Renew Calls to Reform Hospital Work Rules
The deaths of two resident doctors in Algeria within days of each other have renewed calls for urgent changes to working conditions in the country’s public hospitals, where medical unions say chronic staff shortages, long shifts and inadequate resources are placing healthcare workers under severe pressure.
Dr Aymen Badis, a resident neurosurgeon at Frantz Fanon Hospital in Blida, died of a heart attack after completing a 24-hour on-call shift. Days later, a resident anaesthesiologist died while working at Mohamed Lamine Debaghine University Hospital in Algiers.
Colleagues linked the second death to exhaustion and intense working conditions in social media posts. Algeria’s Health Ministry denied that the doctor had been working an overnight shift when she died, but the statement drew criticism from medical professionals who said it failed to address the wider pressure facing hospital staff.
The National Union of General Public Health Practitioners called for a comprehensive review of the on-call system, saying years of policies had contributed to exhaustion among doctors and nurses.
The union said the death of Dr Badis after what it described as an exhausting shift required an immediate response. It also urged authorities to revise the rules governing on-call duties, increase allowances and introduce a legal limit on shift lengths.
The latest deaths have added to a long-running dispute between Algeria’s medical community and the authorities. Doctors have reported working as many as 10 on-call shifts a month in understaffed departments, although some say they are paid for only six.
Resident doctors, who carry much of the daily workload in public hospitals, have also raised concerns about salaries, low night-shift allowances, broken equipment and overcrowded emergency departments.
Medical workers have been demanding changes to an executive decree introduced in 2013 that regulates on-call duties. The National Union of Public Health Practitioners has also called for a minimum monthly salary of 140,000 Algerian dinars for doctors.
The crisis is intensified by regional disparities. Specialist doctors and advanced medical facilities are concentrated in major cities, while inland provinces face shortages of both medical staff and equipment. Hospitals can wait months for repairs to MRI scanners and X-ray machines because procurement procedures delay the purchase of replacement parts.
Algeria has also faced a growing loss of medical professionals to emigration. French Medical Council figures showed that Algerian-trained doctors accounted for 38.8 per cent of non-EU-qualified doctors registered in France as of January 2025.
Doctors say the decision to leave is driven not only by pay but also by limited career opportunities, overcrowded hospitals and concerns over assaults against medical staff.
The deaths have placed renewed pressure on authorities to address working conditions and prevent the country’s public health system from losing more doctors to exhaustion and emigration.
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WHO Warns Congo Ebola Outbreak Could Surpass West Africa’s Deadliest Epidemic
The World Health Organization has warned that an Ebola outbreak in eastern Congo is spreading so rapidly that it could surpass the devastating West African epidemic of 2014 to 2016, which killed more than 11,000 people.
WHO Director-General Tedros Adhanom Ghebreyesus said Wednesday that the current outbreak had already killed more than 2,000 people among over 4,300 reported cases. He warned that the outbreak is advancing faster than health authorities can contain it.
“At its current pace, it’s on track to eclipse the West African Ebola outbreak of 2014 to 2016,” Tedros told reporters.
The West African epidemic, which affected countries including Guinea, Liberia and Sierra Leone, recorded at least 28,000 cases and took about eight months to reach 1,000 deaths. The speed of the current outbreak has raised serious concerns among health officials and international agencies.
The Congo outbreak was officially declared on May 15, but genetic sequencing later showed that the virus had been circulating since February. This earlier start has complicated efforts to trace infections and establish effective control measures.
The outbreak is concentrated in eastern Congo, where conflict, poor infrastructure and limited healthcare capacity have made the response more difficult. The affected region lies close to the borders with South Sudan, Uganda and Rwanda.
Many new cases and deaths are being recorded in communities that are difficult for health workers to reach. Medical facilities in some areas lack equipment and resources, while some health workers have reportedly stopped working because of unpaid wages.
Misinformation has also created obstacles. Health officials say some communities remain suspicious of outsiders and are reluctant to visit clinics, making it harder to identify cases and prevent further transmission.
“The outbreak had a big head start, still way ahead of us, and we’re playing catch-up,” Tedros said.
Dr Abdirahman Mahamud, WHO director for health emergency alert and response operations, said the agency expects the outbreak to reach its peak within six months under a moderate scenario. He warned that the outbreak could continue for nine to 12 months under a more severe scenario.
The outbreak is caused by the Bundibugyo virus, a rare Ebola strain for which no approved vaccine or treatment is currently available. Clinical trials of two potential treatments began last month in Ituri, the province reporting the highest number of cases.
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