### Egypt’s Contrast Bulb Crisis: A Mirror of Health System Dysfunctions
Patients’ complaints in several Egyptian governorates about the shortage of contrast bulbs needed for computed tomography (CT) scans raise concerns not only about access to essential health care, but also reveal deeper truths about the functioning of health administration in Egypt. The stories of Badria Hussein and Waheeba Abdullah, who are facing this acute shortage, illustrate an alarming phenomenon where the health of individuals collides with broken bureaucratic structures, putting lives at risk.
The situation is part of a broader context of insufficient supply of medicines and treatments within public health institutions. Box discussed by Walid al-Nahhas, director of the Oncology Center at Mansoura University, the cause of the shortages lies in systemic slowness on the part of supply companies, which fuel a parallel economy, or black market, where prices skyrocket – reaching three to four times their original price. This dynamic highlights not only corruption, but also the erosion of public trust in the government health system.
To shed light on this crisis, it is relevant to consider broader statistics. According to a 2021 study by the World Health Organization (WHO), approximately 36% of Egyptians report having experienced problems accessing prescribed medicines, a figure that has increased significantly during the COVID-19 pandemic. This trend illustrates an urgent need for reform of the health system, beyond simple supply issues. Countries in the region, such as Morocco and Tunisia, have put in place more resilient emergency systems, based on public-private partnerships, to address similar crises. In contrast, Egypt remains stuck in a rigid procurement model that has so far failed to adapt to market realities.
The involvement of policymakers, such as the initiative presented by House of Representatives member Evelyn Matta to seek explanations from the Minister of Health, should be welcomed. However, this is not enough; it is essential that parliamentarians also commit to implementing structural reforms to ensure transparency in the medicine procurement process. The simple demand for accountability should be accompanied by concrete measures to prevent this crisis from recurring.
Through the shared experiences, it is also crucial to examine the underlying ethical and humanitarian issues. Patients, especially those with diseases like cancer, are on the front lines of a crisis where government inaction can have deadly consequences. Beyond financial issues, it is a question of dignity and equitable access to medical care. The testimonies of people like Waheeba Abdullah are not only cries for help, but also warnings about the importance of an inclusive and responsive health system.
In this situation, the media has a crucial role to play in rekindling public debate, shedding light on injustices, and supporting voices that are often silenced. The Fatshimetrie website, with its in-depth analyses and ability to relay citizens’ experiences, could become a key platform to mobilize public opinion on the need for urgent reforms in the health sector.
In conclusion, the shortage of contrast vials in Egypt is much more than a simple supply issue. It reflects a system that is struggling to meet the basic needs of its population. It calls for collective awareness and concerted action to build a future where every patient, regardless of their economic status, can access vital care in a timely manner. It is time for reflection, analysis and, above all, real commitment to lasting change.