One Peace Corps Death but NOT from the Coronavirus Pandemic
Even while taking anti-malarials, you are susceptible to malaria infection The fact that she stopped taking them should not have…
Julie and Bill Heiderman with a portrait of their daughter, Bernice, who died in 2018.(Credit…Joshua Lott for The New York Times)
For the first time in its history, the Peace Corps suspended all operations as the coronavirus raced around the globe. Now it is preparing to send volunteers back into the field.
But the planning for the redeployment of Americans around a world shaken by the pandemic comes as the agency faces renewed questions about the quality of its medical care, touched off in part by the death of a 24-year-old volunteer from undiagnosed malaria.
The volunteer, Bernice Heiderman, died alone in a hotel room in Comoros, off Africa’s east coast, in 2018, after sending desperate text messages to her family. She told them that her Peace Corps doctor was not taking her complaints seriously.
An investigation by the agency’s inspector general documented a string of problems. Ms. Heiderman’s doctor, the investigation found, had “limited training in tropical medicine,” and failed to test for malaria — an obvious diagnosis. And the agency’s medical experts in Washington, with whom he consulted, never asked him to.
“Had she received timely treatment,” the inspector general concluded, “she could have made a rapid, full recovery.”
In March, the Peace Corps evacuated more than 7,000 volunteers from more than 60 countries. It is now accepting applications for them to return to service. If conditions permit, officials said, some may return to their posts by the end of the year, and new volunteers may begin as early as Jan. 1.
The agency said in an emailed statement that it “continues to grieve the tragic loss of volunteer Bernice Heiderman” and that it had “initiated several steps to further strengthen health care for volunteers.”
This is a really sad case. Apparently Ms. Heiderman had stopped taking her anti-malaria pills and failed to tell her doctor this fact. The doctor assumed she was taking the pills and so did not consider malaria as a diagnosis.
Several of my fellow PCVs in El Salvador stopped taking their malaria medication for various reasons. Some of them got malaria but fortunately none died. It is a big oversimplification to blame Ms. Heiderman’s death entirely on Peace Corps medical staff.
Even while taking anti-malarials, you are susceptible to malaria infection The fact that she stopped taking them should not have been a factor.
She still should have been tested for malaria, even under the assumption that she was taking her pills. We know that the anti-malaria pill is not 100% effective.
Heartbreaking!
Leita