Showing posts with label MERS-CoV. Show all posts
Showing posts with label MERS-CoV. Show all posts

Saturday, August 08, 2015

BWorld 14, OFWs, MERS-CoV and the DFA

* This is my article yesterday in BusinessWorld Weekender.
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OFWs, MERS-CoV, the DFA, and helpful people

AMONG the infectious diseases that have terrified people around the world since last year was the Middle East Respiratory Syndrome-Corona Virus (MERS-CoV). It started in the Kingdom of Saudi Arabia (KSA) and has killed many people there in 2014, and recently the disease has reached South Korea and killed some 36 people, infected nearly 200 others, and resulted in a lockdown and isolation of several small villages and hospitals with confirmed patients.
Among the people who succumbed to the MERS-CoV infection and died were Filipino health workers like nurses in frontline emergency cases in Saudi hospitals.

One of those Filipino nurses who died was my sister-in-law, Gemma B. Oplas, wife of my younger brother, Bonifacio S. Oplas. Gemma was working as a nurse at the emergency department of the Saudi government-owned hospital, King Fahad Medical Center (KFMC), in Riyadh. She was taking care of some MERS patients in the hospital until she herself was infected. Death was fast, only six and a half days from the time she was confined in the same hospital where she was working, until her death on May 6 last year.

Several issues came out of her case, implying several lessons that other health OFWs may take note.

1 Non-transparency by the hospital. Initially, KFMC imposed a news blackout sometime April-May 2014. No one knew the extent of infections and deaths in the hospital alone. The Philippine Embassy did not even know some of these things until they learned from the Department of Foreign Affairs in Manila when my brother applied for a rush passport. The information blackout by the hospital showed he severity of the problem, similar to the Chinese government’s news blackout when SARS spread and killed several people.

2 The DFA’s assistance. The Consular Office acted swiftly when my brother requested for a rush passport so he could fly to Riyadh and see his wife. But death was fast, he did not fly anymore, knowing that the DOH Quarantine would hold and isolate him for at least two weeks, the normal incubation period of MERS, when he returned.

3 Three months’ body freezing. Since it was death from a highly infectious disease, the body would be put in a freezer for 2-3 months before it can be transported back home. My brother would have preferred cremation and bringing home the ashes, but cremation is not allowed in KSA.

4 Airline paranoia. Around mid-August 2014, KFMC and the Saudi Ministry of Health decided it was safe to send home Gemma’s body via Cathay Pacific cargo (Riyadh-HK-Manila route). Gemma’s body was supposed to arrive in Manila on August 17, before being transported to Bacolod City. A belated correspondence from Cathay Pacific the day before transporting the body said the Hong Kong government and the airline would require an “import permit.”

Import permit for the dead? Cathay said this permit should come from the Department of Health, to ascertain the safety in bringing home the body of a person who died of an infectious disease. I went to the department’s Bureau of Quarantine (BoQ), talked to the director who said that it is not their duty or responsibility to give a permit for incoming deceased people. They can give permit for outgoing deceased bodies.

I wrote to a Cathay officer and asked what exactly is the “import permit” that they require and from what agency it should come from. They replied,

“...If not cremated, death Certificate + Undertakers Certificate. If death caused by communicable disease, admittance allowed only when the remains is [sic] cremated or properly embalmed and enclosed in hermetically sealed coffin.”

So their earlier requirement of an “import permit” was irrelevant as the HK government wanted a different set of requirements.

5 Quick burial, avoid further health stigma. Saudia Air transported Gemma’s body, Riyadh-Manila direct last September 04, 2014, or almost four months after she died. Then PAL cargo brought the body to Bacolod that same day. The plane landed around 6pm, the coffin was brought to a cemetery in Bacolod, short mass, the coffin was not opened, no public viewing, then buried around 8pm.

6 Getting the benefit package, a long process. Around July or August 2014, KFMC deposited the hospital’s benefit package for Gemma, equivalent to three years’ salary, plus end of service award, to Al Rajhi Bank in Riyadh.

At first, my brother sent a special power of attorney (SPA) to Gemma’s close friend, fellow hospital co-worker Magda, who would then transfer the amount to the joint account of my brother and their only child, Lois, in Bacolod City. The SPA went through various official routes -- DFA, notary public, the Kingdom of Saudi Arabia (KSA) embassy in Manila, then mailed to Riyadh.

After several weeks, the feedback was that the Saudi bank said they would not honor that SPA, because according to KSA customs, recipients of Gemma’s benefit package should not only be the legal and married family of Gemma but also her original family, meaning signatories should include her parents and siblings.

Sensing that even this may create new questions from the Riyadh bank and other Saudi government agencies, the Philippine embassy offered to be the recipient of the SPA, so in case of any problems, this would be handled as a government-to-government matter.

7 Al Rajhi Bank’s delaying moves. After submitting all the new requirements to the bank, the Philippine embassy wrote and called up the bank several times to get the benefit package. But the bank did not respond to their letters or take their phone calls. And when a staff member of the embassy visited the bank, the bank manager would not even entertain him.

The bank’s website says it cares for its customers and gives them instant personal finance, without the customers even having to wait for 15 minutes. So why would the benefit package for a dead person be pending for many months?

There is not a single email address of any of the bank’s officers. I blogged about the bank and also tweeted them, and still no reply.

8 Secretary Albert F. del Rosario’s office acted. First, I wrote to Ambassador Ezzedin H. Tago in Riyadh to do something about this case, but got no reply. Then I wrote to DFA Undersecretary Jesus I. Yabes of Migrant Workers’ Affairs, and no reply too. My brother emailed the DFA Secretary, then I followed up with some friends at the department. The Office of the Secretary acted swiftly. They sent a formal reply to my brother, saying they had instructed the Philippine embassy in Riyadh to speed up this case.

Within a week or two, the embassy texted my brother saying they had the check, since the bank had finally released the package, which was then sent to the DFA’s main office. After more than three weeks, going through regular processes, the DFA finally deposited the fund in the joint account of my brother and his daughter.

Problem no. 1, getting the body back home to Negros Occidental, was finally solved after almost four months.

Problem no. 2, having the benefit package delivered to the family of the deceased, happened after almost 15 months. The main cause of the delay was the bank in Riyadh.

My brother and I would like to thank the DFA for being a helpful agency in this case. From rushing his passport (via Consular Office) to assisting in the body’s return (via the department’s Office on Migrant Workers’ Affairs) to getting the benefit package (via the Philippine embassy in Riyadh and the Office of the Secretary). People who at once criticize the DFA for its supposed “inaction” on their requests may need to observe restraint and learn the formal processes whenever possible.

Finally, there are helpful people around. I met this man, Croox, in June last year, who has already retired from the DFA. Receiving his monthly pension but not doing much at home, he would frequently return to his previous office and help people anyway he can. For free. A jolly and cheerful guy, he helped us secure certain government documents, including a notarized copy by the Saudi Embassy, for the SPA. Croox would spend his own money to go to the DFA and the Saudi embassy to follow up papers.

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See also: 

Wednesday, December 31, 2014

Top 10 News in 2014, Happy New Year 2015

Happy New Year friends.
May we be even happier in 2015 compared to 2014 and  previous years.
Well, there are reasons for optimism, and here is my list of the

Top 10 global news of 2014

1. Economics 1, Cheap  oil.

Thank you competitive capitalism for reasserting yourself. OPEC cartelization and cronyism is boink, shale oil and gas capitalism is cool. We have entered a world of rising abundance. The on-going cheap world oil further affirms that.

That's for the last five years. Here is the chart for the last 45 years.

2. Economics 2, Inequality de Piketty

Inequality is good and natural, and Piketty and the UN, WB, IMF, ADB, governments, socialists are wrong to complain about rising inequality. If my statement is wrong, then I demand that my income should be at least 1/10 that of Mark Zuckerberg or Bill Gates, even if I work only two hours a day and drink and party 10 hours a day. Today's poor are better off compared to the super-rich 100 or 50 years ago.

3. Economics 3, No fiscal crisis and low interest rates

This is from The Economist magazine, November 20th 2014 issue. Fiscal crisis by many fiscally irresponsible governments (FIGs) in Europe and elsewhere in 2014, all they do is spend-tax-borrow-borrow more. If supply of credit does not keep up with demand forl credit and debts, interest rates should go up. This did not happen. Which means capitalism worldwide is adjusting and getting  more efficient, producing  more surplus that it can  continue to bailout those FIGs with low interest rates even if they continue with their endless borrowings policy.

4. Politics Asia, Hong Kong protests and call for democratization

To hell with you communism, hehehe. China communism and dictatorship is lousy; to extend that dictatorship to a former British colony that championed free trade, yes, unilateral free trade, is lousy too. 

But as I argued repeatedly, freedom of expression should not curtail freedom of mobility of other people. Thus, I did not support prolonged occupation of HK's streets and thus, I support the clearing of those unoccupied tents that block major roads. 

5. Politics Mid-east, IS in Syria and Iraq

Lots of violence and intolerance. Their big problem is that people, including their fellow Muslims in many countries, are getting more intolerant with intolerance and  violence. Thus, while they gained prominence at the start, they later gained notoriety and condemnation later.

6. Politics Europe, Russia and Ukraine

Booo, Vladimir Putin. Military invasion and occupation is too taboo these days. Only dictators and insecure leaders would do that.

Now #1 above, cheap oil, is piercing huge holes on your dictatorial leadership. Fellow dictatorship in China is now bailing you out. 

7. Climate, Climate extortion

$500 B a year of climate money from rich countries to developing countries? wow. Actually some extortionists are joking. While they demanded $100 B a year in 2009, revised the estimates to $500 B a year, the UN climate spokesperson suggested $6 trillion a year. Wow.

Money money money, always sunny, in the climate alarmism and extortion world.

8. Health, MERS-CoV and Ebola

One of the many faces of MERS-CoV victims in the Middle East, my sister in law, Gemma B. Oplas, In this photo, she was holding my elder daughter while they were in Bacolod City in 2010, her lone kid Lois looking on. 

An ER nurse in a Saudi government hospital in Riyadh, she was taking care of a MERS patient who ironically survived, she was infected, she did not survive.

MERS-CoV, Ebola, dengue, HIV, H1N1 and other infectious diseases, are living and evolving microorganisms, They will keep evolving and spreading themselves. There is nothing we can  do about them except have proper isolation  system  of victims, and have evolving treatment to evolving diseases. More science, more innovator medicines, less politics.

9. Sports, World Cup

Horrible loss for Brazil, the host of 2014 soccer World Cup. After barreling its way to the championships, it lost to Germany 1-7, agghh!

But the common global excitement of Europe vs S. America in the Finals or semi-finals has been affirmed. I wish to see an Asian team in the finals someday.

10. My 2nd book :-)

Published by FNF PH office, this book reaffirms the beauty of classical liberalism, rule of law (not rule of men) and more civil society (and less government, less coercion).

Happy new year guys.

Thursday, September 04, 2014

MERS-CoV and OFWs, Part 3

Four months after she died in Riyadh, my sister in law, a former nurse in a Saudi government hospital, is finally home in our province in Negros Occ. Welcome home, Gemma. Lois, their only child, 13 yo, with her in this photo which I took from Gemma's fb wall.

She should have been brought home last August 17 via Cathay Pacific (Riyadh-HK-Manila). But about one or two days before she would be transported, Cathay demanded a new requirement before they would transport Gemma. First they demanded an "import permit" from Manila. When I wrote to  them  what  is that “import permit” and what agency in Manila it should come from, they corrected it to "embalmer's certificate" from Saudi, etc. My brother wrote to the travel agency arranged by the Saudi hospital, to look for another airline that would not be too bureaucratic.
So the travel agency arranged for a new airline. Saudia Air took her from Riyadh to Manila direct, arrived mid-day today, then PAL for Manila-Bacolod. The plane landed in Silay-Bacolod airport before 6pm, the body was brought to Rolling Hills funeral park in Bacolod, short mass, then she was buried. Now she is back in  the  province where  she was born  and  grew up.

Her arrival  at Manila  airport today was reported in TV Patrol of ABS-CBN, and was reported online.

Report from Atom Araullo, ABS-CBNnews.com
Posted at 09/04/2014 2:51 PM | Updated as of 09/04/2014 2:51 PM

MANILA – The remains of a Filipina nurse who died from the Middle East Respiratory Syndrome-Corona Virus in Saudi Arabia arrived in Manila on Thursday morning.

The body of Gemma Barrilea Oplas arrived at the cargo section of Ninoy Aquino International Airport Terminal 1 past 10 a.m. It was immediately brought to Bacolod….

Special thanks again to the DFA. Riyadh PH Embassy coordinated with Saudi MOH and the hospital to finally bring her back.

Problem 1, bringing home the remains, is solved.
Problem 2, sending the benefits that the hospital would give to Gemma's family (her siblings included, based on Saudi laws and culture). This will take several weeks more...

I checked the ABS-CBN facebook page for this report, there were many comments. Mostly positive and notes of condolence, but there are some idiots who wrote negatively about Gemma, or about health OFWs in Saudi in general. Ignoring the idiots, here are some comments, mainly from Gemma’s friends:

Jan Jefri: FYI po, colleague ko po ung nsa news.. she died here in Riyadh kaso need to keep for 2-3 months freezed para macontain ung virus.. SOP po yan ng Ministry of Health dto s KSA. Pinoy nurses are highly competitive when it comes to giving nursing care to patients regardless of the disease that a patient have. Direct contact na kulang nlng mahalikan at mayakap ang mga pasyente. We took care our patients as our own family.. Yan ang risk sa profession na pinile nmin.. All we need is your prayers to all nurses all over the world.

Ang work po nmin as nurse dto is from the dirtiest to clean work..meaning all in one po.. package ika nga!!! At dyan competent mga pinoy nurses.. a million salute to you Ate Gemma, may your soul rest in peace. Youre a HERO!!!

..and another thing, if you're working as ER nurse in any facility hndi mo alam kung anong meron ang bawat pasyente na pumapasok sa unit..Likewise, madaming ntatamaan ng MERScOV na asymptomatic pero positive pala s test.. so hindi mo rin tlaga masabi.. need tlga to boost immunity para sa mga virus na yan and effective handwashing.. especially now that ebola is around. MERS and EBOLA will go hand and hand!!! Fight fight fight fellow nurses!!!

Oo nga, instead na magsalita ng hndi maganda..better to pray for everyone..wala nman may gusto na madapuhan ng deadly virus na yan..

Rest in peace ate gemma.. ur memories will remain in our hearts.. a million salute to you!!!

Richel Amante Tayros: Rest in peace Gemma kapitbahay ko yan.at yung mga bad comments ng iba na kung ano anung speculation pwede kung wala kayong alam hwag na lng magsalita ng masama.hindi nyo kilala yung tao pra husgahan.

Yoj Arnaldo: Sa mga may negative comment jan, gemma took care of her colleague na may mers.nahawa sya and namatay ahead.d pa nga alam ng nkahawa sa kanya na patay na sya.gemma is a friend of my friend.imbes magcomment ng pangit,kesyo ganito o ganyan, why cant u just pray for her soul...

Danilyn Pinote: tama na,hwg naman kau masyado putak ng putak.saludo ako sa kanya. nagbuwis sya ng buhay nya para sa ibang tao.ginampanan lang nya ang trabaho nya. condolence po

Roxane Septimo Romias: She a Person withbeautiful heart kahit nung nakalatay sya pneumonia pa lang findings in ask pa nxa ako i doble check ung namatay ng mers cove kasi kaibigan nya meron

Myrz Flores: Totoo na mers cov yun..nag alalaga siya ng kaibigan na may mers then siya pa yung namtay..yung inalagaan niya buhay at stabke na sa ngaun.kakalungkot naman talaga at ngaun lang siya nakauwi.

Ross-ana Hulleza Toroy: I would like to express my sincere condolence to the family of my friend gemma oplas.rest in peace my dear friend.
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See also:
MERS CoV and OFWs  May 08, 2014
MERS-CoV and OFWs, Part 2, August 26, 2014

Tuesday, August 26, 2014

MERS-CoV and OFWs, Part 2

As I posted On MERS CoV and OFWs last May 08, 2014, my sister in law, Gemma B. Oplas, died last May 6, 2014 of the disease. She was an ER nurse at King Fahad Medical City (KFMC) in Riyadh, the biggest Saudi government hospital in that city. She was attending to a MERS patient, and within days, she herself was infected. Death was fast, only 6 1/2 days after she was confined.

It is now 3 months and 3 weeks since she died and her body is not flown home yet, it is still in a freezer in Riyadh. That is one of the hard travails of OFWs who died of infectious diseases abroad.

I am not aware of the science of containing viruses, but refrigeration for more than 3 months is supposed to be enough to kill any virus in the body. If cremation is only allowed in Saudi Arabia, but it's not.

Two weeks ago, KFMC and the Saudi government have decided to send home Gemma's body via Cathay Pacific cargo (Riyadh-HK-Manila) and Gemma was supposed to arrive in Manila last August 17, Sunday afternoon.

But a belated correspondence from Cathay Pacific the day before said that HK government and Cathay would require an "import permit" from my brother (in Negros Occ.) before the airline will transport the remains.

Import permit for the dead???? Cathay said this permit should come from the DOH, that it is safe to bring home the body of a deceased person who died of that infectious disease. It's weird. I asked my friend, DFA ASec Eddie about it and it is also his first time to hear a case of requiring an import permit for the dead.

People have high stigma against this disease. Like (1) the managers of the funeral park in Cadiz City, Neg. Occ. who adviced that Gemma be cremated in Bacolod instead of being buried in Cadiz (64 kms. north of Bacolod), (2) DOH Bacolod which will not allow opening the casket and wants the body to be buried quick, (3) various airlines including Cathay, and (4) the HK government.

I went to DOH Bureau of Quarantine (BoQ) last week, August 20. I was able to talk to its Director, Dr. Mavic Vasquez. She said it is not their duty or responsibility to give a permit for incoming deceased people. They can give for outgoing ones. She thought that it should be DFA Riyadh, with Saudi Ministry of Health (MOH), that should issue such permit. A dead person here (Filipino or foreigner) that must be transported abroad for burial or autopsy or whatever purpose, the BoQ issues the permit to transport.

I called up again the DFA Office of the UnderSecretary for Migrant Workers Affairs (OUMWA). The person I spoke there wanted to call Cathay Pacific as DFA guys themselves are surprised with this new requirement. He called the Riyadh Philippine Embassy (PE) instead to inquire what the problems are. He was informed that there may be some problem with the Saudi MOH, but the PE is doing something to hasten the repatriation of Gemma's body.

Last week, I wrote to a Cathay officer and asked what exactly is the "import permit" that they require and from what agency or Department it should come from. They replied,

"...If not cremated, death Certificate + Undertakers Certificate. If death caused by communicable disease, admittance allowed only when the remains is cremated or properly embalmed and enclosed in hermetically sealed coffin."

So their earlier requirement of an "import permit" was irrelevant as the HK government wants an Undertaker's Certificate + proper enclosure in a sealed coffin. 

In one yahoo report  last May 26, 2014, the Saudi government expressed high alarm, even desperation, in attracting health professionals who will risk their lives attending to MERS patients.

Gemma's death benefit package from the hospital is not released until now. There are some bureaucracies in the Saudi government and my brother is asking the assistance of the Riyadh PE.

All the papers for OWWA benefits, SSS, etc. cannot start unless there is a death certificate or at least Report of Death from DFA Riyadh embassy. The Report must come with the body, so the longer that the body is not repatriated, the longer will be the non-processing of said papers.

There must have been several OFW health workers who died of MERS-CoV in Saudi alone this year. Some must be there until now. It is really hard for the immediate family, like my younger brother and their only child, 13 yo Lois. to endure these uncertainties. Lots of stigma attached to this disease, but it is not the victims's fault. Gemma died in the course of her work, she was an ER nurse there. I think media alarmism and sensationalism has fanned this public stigma.

Next problem would be OFWs who died of ebola, if any, in Africa. The same public stigma, or even worse, would be attached to the victims. One reason why many Filipino relatives and family members of OFWs who died of MERS are silent. They seldom, if any, admit publicly that their kin died of that disease.

I think there are other weird stories in bringing home OFWs who died of infectious diseases, but since many of the kins here are not too open to reveal it publicly, the stories are kept in the dark. I don't think they should be ashamed to admit that their kin died of an infectious disease, especially while performing their profession. If their kin stole abroad and was shot and killed, then there is a reason to be ashamed.

Thursday, May 08, 2014

On MERS CoV and OFWs

This is my sister in law, Gemma Barilea-Oplas, holding my elder daughter Elle Marie, and beside her lone child, Lois, sometime in late 2010 in our province in Neg. Occ. Elle is now 7+ years old while Lois is 13 years old. Gemma is an OFW, a nurse in King Fahd Medical City (KFMC) in Riyadh, Kingdom of Saudi Arabia (KSA) for more than a decade. It's a big Saudi government hospital. 


Gemma died the other day. It was a fast death. Confined in the same hospital where she was working last Wednesday night (KSA time), she was able to call my younger brother, Bobong, to inform him of her situation. A tube was put in her mouth by Thursday, she accepted Bobong's call, their last conversation.  ICU by Friday, renal failure and plummeting BP by Monday, dead by Tuesday, this week.

Bobong and Lois stay in Cadiz City, Negros Occidental, my hometown. He wanted to fly to Saudi, he went to Bacolod City last Monday for his passport application, was told that his passport will be released May 26. Too long, he contacted me, so I contacted a good friend way back in UP Diliman in the 80s, now DFA Assistant. Secretary Eddie de Vega for help. DFA responded with speed and efficiency, I am very thankful of them. But bad luck has taken over.

Yesterday, I got my brother's passport at DFA even though he will not fly to Saudi anymore. DFA Asst. Sec. Fred Santos personally attended to me. Thanks again ASec.

Gemma's death is suspected to be caused by the Middle East Respiratory Syndrome - Corona Virus (MERS-CoV): ASec Santos brought me to DFA Under Secretary Jesus Yabes' office, to ask how the DFA can help bring back the body. PH embassy in Riyadh has no knowledge about her death. The hospital has imposed a news bllack out about her case, and most likely similar cases involving their sick staff. ASec Eddie and I are of course disappointed. How can the PH government, DFA in particular, deal with this, how grave is the problem, if some Saudi government hospitals have this poicy?

Maybe the hospital wants to further study the body whether it is indeed MERS-Cov or any other disease which caused the death. But they should have informed the PH embassy.  The news black out policy by the Saudi government hospital, even if done temporarily, strengthens suspicion that the MERS CoV problem there could be worse that what the Saudi government would reveal to media and the public. Similar to China government's news sanitation policy when SARS spread there and killed several people. The actual death toll was higher than what was reported.

A lawyer friend working at the DOJ, Jojo, commented,
That is a problem Noy. But this Merscov is taking its toll on our OFW health workers in Saudi. The government should act with the same urgency as it did when it published the names of a plane load of OFWs and asked them to come in for tests. By now the Philippine Embassy in Riyadh should already have an action plan on how to respond to our OFWs who fall to the Merscov. Maalarma na sila para sa mga kababayan natin na na-expose na sa Saudi, hindi lang sa pag naglanding na sila dito sa Pinas at madadamay tayo at saka pa lamang aaksyon ng lubos. The highest diplomatic measures should already be undertaken as we speak to protect our OFWs in Saudi from the Merscov.

Jojo is right. My brother asked for a copy of Gemma's medical abstract through her close friend, also a Pinay nurse in the same hospiital. I hope they can give the abstract. It is not official yet if it was MERS CoV or other disease that killed Gemma. But when she was confined last Wed, all the symptoms of the disease were with her.

I discovered last night that the Inquirer has reported it the other day.


 A related news from interaksyon last week. 

"Public concern over the spread of MERS mounted earlier this month after the resignation of at least four doctors at Jeddah's King Fahd Hospital who refused to treat patients for fear of infection...."

I think the PH Embassy in Riyadh will contact KFMC to get the official report, even if the latter will insist on its news blackout policy, implicit or explicit. 

I do not know if the hospital will take it against my brother that I write this story as this may put them in a bad light somehow. But it is for the benefit of both KSA and PH governments and the public in general in both countries, if there is more transparency how grave or non-grave the situation of MERS incidence is in KSA.

To Gemma's siblings, parents, relatives and friends, in Cadiz and elsewhere, this is a sad reality that we have to accept, including the delayed repatriation of her body back home. 

Thanks to many friends who expressed sympathy when I posted this note in my fb account last night, 
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See also:
Drug Innovation 9: Treating Lympho Leukemia and HIV/AIDS, January 10, 2013 
Drug Innovation 10: Cancer, H7N9 and Government, April 26, 2013 

Drug Innovation 12: H7N9, SARS, Bird Flu and Vaccines, May 14, 2013

Drug Innovation 13: Why Expensive Cancer Drugs Are Cost-Saving After All, June 10, 2013