Four of the most life-threatening skin conditions and what you should know about them



File 20180312 30965 xaeir3.jpg?ixlib=rb 1.1
Some serious skin conditions are more likely to affect those with weaker immune systems.
from http://www.shutterstock.com

William Cranwell, Melbourne Health

This article is part of our series about skin: why we have it, what it does, and what can go wrong. Read other articles in the series here.


Dermatological emergencies are uncommon, but can cause devastating complications and death if not recognised and treated early. Some skin conditions require treatment in an intensive care unit. Here are some of the most serious skin conditions and what you should know about recognising them.

1. Necrotising fasciitis

Necrotising fasciitis is a severe infection of the skin, the tissue below the skin, and the fascia (fibrous tissue that separates muscles and organs), resulting in tissue death, or necrosis. The infection is rapid, fast-spreading and fatal if not detected and treated early. If not treated with antibiotics and surgery early, toxic shock and organ failure are common.

Necrotising fasciitis may occur in anyone. Previously healthy young people are often affected.

The cause may be one or more bacteria entering the body via an external injury or punctured internal organ. Group A streptococci bacteria, which are the organisms implicated in “strep throat”, are among the most common causes.




Read more:
Explainer: what causes necrotising fasciitis, the flesh-eating bug?


Early necrotising fasciitis is easily missed, as similar symptoms are commonly seen in less severe infection. The initial area is painful, red and swollen. This progresses to a dark, blistered, malodorous and blackened area, which is a sign of tissue death. Other symptoms include fever, intense pain, low blood pressure and shock.

The most important risk factors for necrotising fasciitis include diabetes, peripheral vascular disease, trauma, alcohol and intravenous drug use, and use of non-steroidal anti-inflammatory drugs.

Treatment of necrotising fasciitis is immediate hospitalisation, surgical removal of all dead tissue, and intravenous antibiotics. Patients often require intensive care. Management of shock and other complications reduces the risk of death. Use of a hyperbaric chamber (to increase oxygen delivery to the tissue) and immune therapy may also be required.

Around a quarter of people diagnosed with necrotising fasciitis will die, and sepsis occurs in up to 70% of cases.

Most have heard of necrotising fasciitis as the ‘flesh-eating bug’.
DermNet New Zealand

2. Scalded skin syndrome

Staphylococcal scalded skin syndrome is an uncommon major skin infection. It typically affects newborn babies, young children and adults with reduced immune systems or kidney failure. This syndrome is caused by toxins produced by the bacterium Staphylococcus aureus, which is common in throat, ear and eye infections.

Around 15-40% of adults carry Staphylococcus aureus on the skin surface and have no problems. But these adults may inadvertently introduce the bacteria into nurseries or daycare centres. Because young children have weak immunity to specific toxins, they’re at increased risk of scalded skin syndrome.

Scalded skin syndrome is characterised by a red, blistering rash resembling burns. Early symptoms include fever, skin redness and skin tenderness. Other symptoms may include sore throat or conjunctivitis.

Within 24-48 hours, fluid-filled blisters form on the entire body. The blisters may rupture, leaving areas resembling burns. Large areas of the skin peel off and fall away with only minor touch.




Read more:
Common skin rashes and what to do about them


Scalded skin syndrome requires hospitalisation for intravenous antibiotics and treatment of the wounds. Ruptured blisters require wound dressings, and the skin surface requires intense care to avoid further damage.

Other treatment includes intravenous fluid and electrolyte maintenance to prevent shock and other complications, paracetamol for pain and fever, and avoidance of severe sepsis. Sepsis is when chemicals released into the bloodstream to fight an infection trigger inflammatory responses throughout the body, which can be life-threatening.

Complications of scalded skin syndrome include severe infection, pneumonia, cellulitis (a bacterial skin infection) and dehydration. Most children treated appropriately recover well and healing is complete within a week.

Staphylococcal scalded skin syndrome is more likely to occur in people with weaker immune systems – such as children.
DermNet New Zealand

3. DRESS syndrome

Standing for “drug reaction with eosinophilia and systemic symptoms,” DRESS syndrome is a severe reaction that affects the skin and internal organs. The patient may have an extensive rash, fever, enlarged lymph nodes and damage to the liver, kidneys, lungs, heart, blood components or pancreas. Symptoms usually start two to eight weeks after the responsible drug has been taken.

The death rate is estimated between 10 and 20%, most often due to liver failure.

The most common drugs responsible include anticonvulsants, antidepressants, non-steroidal anti-inflammatory drugs, antibiotics and sulfa drugs (a type of synthetic antibiotic). The severe reaction is thought to occur due to a pre-existing genetic change in the immune system, a triggering illness (most often a viral infection) and defective breakdown of the drug by the body.

Early diagnosis is essential. The responsible drug must be stopped immediately and patients may require intensive care or burn unit management. More intensive treatment is needed if organs are involved.

DRESS syndrome appears a few weeks after taking a drug the patient is allergic to.
DermNet New Zealand

4. Life-threatening drug reactions

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are variants of a life-threatening reaction that affects the skin and mucous membranes (mouth, eyes, genitals, respiratory or gastrointestinal tracts).

These are unpredictable reactions that leave sufferers critically unwell, with widespread death of the outer skin layer (epidermis), which peels off. The rash generally begins on the trunk and extends to the limbs and face, and there is intense skin pain. Before the rash appears, symptoms include fever, sore throat, runny nose, conjunctivitis and general aches.

It’s almost always caused by medications. The most common medications causing this reaction are anticonvulsants, antibiotics, allopurinol (gout medication), non-steroidal anti-inflammatory drugs and an HIV drug. The reaction usually occurs in the first eight weeks after taking the drug. It’s more likely to happen if the patient has cancer, HIV or specific genes that may play a role.

This reaction can be fatal by causing dehydration and malnutrition, severe infection, respiratory failure, gastrointestinal complications and multi-organ failure.

The responsible drug has to be stopped, and treatment (in a burns unit and intensive care unit) includes wound care, fluid management, pain management and prevention of infection. Long-term complications, including scarring, eye, oral, genital, lung disease and mental health disorders, are common. Around a quarter of people with this reaction will die.


The Conversation


Read more:
The skin is a very important (and our largest) organ: what does it do?


This reaction to medications is totally unpredictable.
DermNet NZ

William Cranwell, Dermatology Clinical Research Fellow, Melbourne Health

This article was originally published on The Conversation. Read the original article.

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Suspected Drug Traffickers Kidnap Pastor


Michoacan state church leader abducted during Sunday service.

MEXICO CITY, April 15 (CDN) — Some 500 worshippers were gathered for last Sunday’s (April 10) worship service at the Christian Center El Shaddai in the Mexican city of Lázaro Cárdenas, Michoacan at about 8:15 a.m. when four masked men burst in firing machine guns into the air.

Before the frightened believers realized what was happening, their pastor, Josué Ramírez Santiago, had been whisked away. Divergent press reports indicated the kidnappers, suspected drug traffickers active in the state, were about 10 in number.

The following day, the pastor’s family received news that the criminals wanted a ransom of 20 million pesos (US$1.7 million). Even if the family could raise such an immense sum – considered doubtful – payment would not guarantee that the victim would be returned alive.

Arturo Farela, director of the National Fraternity of Evangelical Churches, has asserted that organized crime syndicates and drug cartels have targeted Christians because they view churches as revenue centers and because churches support programs for the rehabilitation of drug addicts and alcoholics.

“The majority of rehabilitation centers that have been attacked by organized crime in Ciudad Juarez, Tijuana, Tepic and other places belong to the evangelical community,” Farela said in a declaration regarding the kidnapping of Ramirez. “Furthermore, some 100 Mexican or foreign pastors who lived in Ciudad Juarez have had to abandon the city because of the threats and demands for money. And of course many pastors and their families have been victims of extortion, threats, kidnapping and homicide.”

Farela has stated that 100 Mexican clergymen have been kidnapped in recent years, with 15 of them losing their lives to organized crime. Asked if Compass could review his records of these crimes, Farela said he was not authorized to permit it.

In numerous other cases, children of pastors have been kidnapped, including one from Matehuala, San Luis Potosi, who has not been heard from for some six months. The college-age daughter of a prominent pastor in Mexico City was held by kidnappers for a week but was released when the criminals grew tired of the father’s prayers every time they telephoned him; the family has not revealed whether money was given for her return.

Michoacan, the state where the most recent abduction took place, has been a center of much criminal activity and also of severe reprisals by elements of the Mexican army. The state where President Felipe Calderon was born, Michoacan was the first to implement an anti-drug military operation that expanded to northern and eastern states.

In spite of the operation, more than 34,600 people nationwide have reportedly been assassinated since it was implemented in December 2006, with most of those crimes tied to drug traffickers “settling accounts.”

Report from Compass Direct News
http://www.compassdirect.org

Unprecedented Appearance of Foreign Evangelist in Vietnam


Luis Palau preaches at Protestant centennial in spite of government putting up obstacles to event.

HO CHI MINH CITY, Vietnam, April 11 (CDN) — The first appearance by a U.S.-based evangelist preaching at a major event since the 1975 communist victory in Vietnam helped the country’s Protestants to celebrate their centennial last weekend after government officials gave last-minute approval.

In what seems to have become standard government procedure in Vietnam, permission requested months in advance was granted – at a venue several kilometers from the one organizers sought – just three hours before the first major celebration of the Centennial of Protestantism in Vietnam (1911-2011) at Thanh Long Stadium in Ho Chi Minh City on Saturday (April 9) was scheduled to begin. Argentine-born Luis Palau, who has preached in person to 28 million people in 72 countries, delivered the gospel
message.

A second night of celebration began at 7 p.m. on Sunday.

The venue change meant equipment staged in one part of the city had to be moved to the new location before it could be assembled, church leaders said. It also meant notifying many thousands of people invited to one venue about the change to the other, they said.

Given the lack of government cooperation, the leader of Vietnam’s Evangelical Fellowship (of house churches) said the fact that the event went ahead at all was “an absolute miracle.”

By word-of-mouth, Internet, Twitter, Facebook, and especially phone texting, thousands of people got word of the change as technicians and hundreds of volunteers made heroic efforts to ready the stadium. Vietnamese police proved surprisingly helpful in redirecting people from the original site to the new location.

At 9 p.m. – two hours after the schedule start – huge banners reading “PRAY FOR VIETNAM” and “GOD LOVES VIETNAM” were unfurled to welcome the Luis Palau Team and thousands of people to the festival, which joyfully combined the centennial celebration with Easter.

After opening prayers and welcome by Vietnamese leaders, Palau’s son Andrew Palau gave testimony to how God delivered him from alcoholism and drug addiction and called him to Christian service. An Intel Corp. vice-president also gave testimony to how God blessed his life and his business. Pastor-musician Don Moen, known for songs such as “Give Thanks,” “God is so Good,” and “God will Make a Way,” provided inspirational music followed by exuberant congregational singing.

Palau began his message at 11 p.m., delivering a concise and clear evangelistic sermon, and about 800 came forward as he invited people to receive Christ. It was after midnight before people began to depart for their homes.

The second celebration proceeded Sunday evening (April 10) in a more orderly and timely fashion. More than 12,000 people filled the seats and most of the chairs set up on the stadium field. In response to Palau’s second message, more than 1,000 people, according to one organizer, came forward in response to the call to follow Christ.

Photos and Vietnamese text on the events are readily available at http://www.hoithanh.com, and clips of the arrival of Palau and Moen in Vietnam may be found on YouTube. They were welcomed at Ho Chi Minh City’s Tan Son Nhut airport by hundreds of enthusiastic young people carrying banners and flowers.

Dr. Nguyen Xuan Duc, president of the Vietnam World Christian Fellowship, said he was very encouraged about the future of the church in Vietnam.

“These are watershed days for Protestantism in Vietnam,” he said. “There is no fear, but rather wonderful spontaneity and irrepressible joy. Events like this happen in spite of the government and without the blessing of some overly conservative church leaders. What we see is young, vibrant, lay-led, internationally connected and very media-savvy.”

While Moen, Palau and others spoke on Sunday night, also appearing in Ho Chi Minh City was iconic singer/songwriter Bob Dylan – whose performance sold only about half of the 8,000 seats at RMIT university.

A week before in Beijing, censors who reviewed Dylan’s song list allowed an unabashedly Christian song beginning, “Jesus said be ready for you know not the hour in which I come,” but did not allow “Blowin’ in the Wind” and “The Times They Are A-Changin’,” according to The Associated Press. Brad Adams of Human Rights Watch complained that, in an earlier day, Dylan – whose music contributed to opposition to the Vietnam War – would never have let a government tell him what to sing, according to the AP.  

Vietnamese organizers and the Palau team now travel north to Hanoi for similar events on Friday and Saturday (April 15-16). As yet there is no indication whether authorities there will be more accommodating than they were in Ho Chi Minh City.

Report from Compass Direct News
http://www.compassdirect.org

Christian Woman Freed from Muslim Kidnappers in Pakistan


Captors tried to force mother of seven to convert to Islam.

LAHORE, Pakistan, March 11 (CDN) — A Christian mother of seven here who last August was kidnapped, raped, sold into marriage and threatened with death if she did not convert to Islam was freed this week.

After she refused to convert and accept the marriage, human traffickers had threatened to kill Shaheen Bibi, 40, and throw her body into the Sindh River if her father, Manna Masih, did not pay a ransom of 100,000 rupees (US$1,170) by Saturday (March 5), the released woman told Compass.   

Drugged into unconsciousness, Shaheen Bibi said that when she awoke in Sadiqabad, her captors told her she had been sold and given in marriage.

“I asked them who they were,” she said. “They said that they were Muslims, to which I told them that I was a married Christian woman with seven children, so it was impossible for me to marry someone, especially a Muslim.”

Giving her a prayer rug (musalla), her captors – Ahmed Baksh, Muhammad Amin and Jaam Ijaz – tried to force her to convert to Islam and told her to recite a Muslim prayer, she said.

“I took the musalla but prayed to Jesus Christ for help,” she said. “They realized that I should be returned to my family.”

A member of St. Joseph Catholic Church in Lahore, Shaheen Bibi said she was kidnapped in August 2010 after she met a woman named Parveen on a bus on her way to work. She said Parveen learned where she worked and later showed up there in a car with two men identified as Muhammad Zulfiqar and Shah. They offered her a job at double her salary and took her to nearby Thokar Niaz Baig.

There she was given tea with some drug in it, and she began to fall unconscious as the two men raped her, she said. Shaheen Bibi was unconscious when they put her in a vehicle, and they gave her sedation injections whenever she regained her senses, she said.

When she awoke in Sadiqabad, Baksh, Amin and Ijaz informed her that she had been sold into marriage with Baksh. They showed her legal documents in which she was given a Muslim name, Sughran Bibi daughter of Siddiq Ali. After Baksh had twice raped her, she said, his mother interjected that she was a “persistent Christian” and that therefore he should stay away from her.

Shaheen Bibi, separated from an abusive husband who had left her for another woman, said that after Baksh’s mother intervened, her captors stopped hurting her but kept her in chains.

 

Release

Her father, Masih, asked police to take action, but they did nothing as her captors had taken her to a remote area between the cities of Rahim Yar Khan and Sadiqabad, considered a “no-go” area ruled by dangerous criminals.

Masih then sought legal assistance from the Community Development Initiative (CDI), a human rights affiliate of the European Center for Law & Justice. With the kidnappers giving Saturday (March 5) as a deadline for payment of the ransom, CDI attorneys brought the issue to the notice of high police officials in Lahore and on March 4 obtained urgent legal orders from Model Town Superintendent of Police Haidar Ashraf to recover Shaheen, according to a CDI source.

The order ultimately went to Assistant Sub-Inspector (ASI) Asghar Jutt of the Nashtar police station. Police accompanied by a CDI field officer raided the home of a contact person for the captors in Lahore, Naheed Bibi, the CDI source said, and officers arrested her in Awami Colony, Lahore.

With Naheed Bibi along, CDI Field Officer Haroon Tazeem and Masih accompanied five policemen, including ASI Jutt, on March 5 to Khan Baila, near Rahim Yar Khan – a journey of 370 miles, arriving that evening. Area police were not willing to cooperate and accompany them, telling them that Khan Baila was a “no-go area” they did not enter even during daytime, much less at night.

Jutt told area police that he had orders from high officials to recover Shaheen Bib, and that he and Tazeem would lead the raid, the CDI source said. With Nashtar police also daring them to help, five local policemen decided to go with them for the operation, he said.

At midnight on Sunday (March 6), after some encounters and raids in a jungle area where houses are miles apart, the rescue team managed to get hold of Shaheen Bibi, the CDI source said. The captors handed over Shaheen Bibi on the condition that they would not be the targets of further legal action, the CDI source said.

Sensing that their foray into the danger zone had gone on long enough, Tazeem and Jutt decided to leave but told them that those who had sold Shaheen Bib in Lahore would be brought to justice.

Fatigued and fragile when she arrived in Lahore on Monday (March 7), Shaheen Bibi told CDN through her attorneys that she would pursue legal action against those who sold her fraudulently into slavery and humiliation.

She said that she had been chained to a tree outside a house, where she prayed continually that God would help her out of the seemingly impossible situation. After the kidnappers gave her father the March 5 deadline last week, Shaheen Bibi said, at one point she lifted her eyes in prayer, saw a cross in the sky and was comforted that God’s mighty hand would release her even though her father had no money to pay ransom.

On four previous occasions, she said, her captors had decided to kill her and had changed their mind.

Shaheen Bibi said there were about 10 other women in captivity with her, some whose hands or legs were broken because they had refused to be forcibly given in marriage. Among the women was one from Bangladesh who had abandoned hope of ever returning home as she had reached her 60s in captivity.

Masih told CDN that he had prayed that God would send help, as he had no money to pay the ransom. The day before the deadline for paying the ransom, he said, he had 100 rupees (less than US$2) in his pocket.

Report from Compass Direct News

Turkmenistan: Protestant pastor’s trial set for Oct. 21, 2010


Protestant pastor Ilmurad Nurliev is due to begin trial in Turkmenistan on the morning of Thursday 21 October, nearly two months after his arrest, Forum 18 News Service has learned.

“The criminal trial in Mary [a south-eastern town in Turkmenistan) is on charges of large-scale swindling, with a penalty of up to five years’ jail. His wife and church members vigorously deny the charges, and insist that the five people named as making accusations are not as the indictment claims church members,” said Felix Corley of Forum 18 News Service.

“Three of them only attended the church a few times, and the remaining two are unknown. Other accusations vigorously denied are that Pastor Nurliev is a drug addict in need of treatment; he is a diabetic and – as she has not been allowed to see him – his wife is very concerned about his health. They also refute an allegation that he is unemployed and lives off the earnings of others, as he worked – until his arrest – as a barber.”

Maya Nurlieva, wife of the accused, told Forum 18, “Up to 20 church members will try to attend – all are ready to speak up to defend my husband.”

She has asked the Organisation for Security and Co-operation in Europe (OSCE) Centre in Ashgabad to send independent monitors to the trial. The Church has stopped meeting for worship after the arrest.

Report from the Christian Telegraph

Sterilize the unfit says British professor David Marsland


The mentally and morally “unfit” should be sterilized, Professor David Marsland, a sociologist and health expert, said this weekend. The professor made the remarks on the BBC radio program Iconoclasts, which advertises itself as the place to “think the unthinkable,” reports Hilary White, LifeSiteNews.com.

Pro-life advocates and disability rights campaigners have responded by saying that Marsland’s proposed system is a straightforward throwback to the coercive eugenics practices of the past.

Marsland, Emeritus Scholar of Sociology and Health Sciences at Brunel University, London and Professorial Research Fellow in Sociology at the University of Buckingham, told the BBC that “permanent sterilization” is the solution to child neglect and abuse.

“Children are abused or grossly neglected by a very small minority of inadequate parents.” Such parents, he said, are not distinguished by “disadvantage, poverty or exploitation,” he said, but by “a number or moral and mental inadequacies” caused by “serious mental defect,” “chronic mental illness” and drug addiction and alcoholism.

“Short of lifetime incarceration,” he said, the solution is “permanent sterilization.”

The debate, chaired by the BBC’s Edward Stourton, was held in response to a request by a local council in the West Midlands that wanted to force contraception on a 29-year-old woman who members of the council judged was mentally incapable of making decisions about childrearing. The judge in the case refused to permit it, saying such a decision would “raise profound questions about state intervention in private and family life.”

Children whose parents are alcoholics or drug addicts can be rescued from abusive situations, but, Marlsand said, “Why should we allow further predictable victims to be harmed by the same perpetrators? Here too, sterilization provides a dependable answer.”

He dismissed possible objections based on human rights, saying that “Rights is a grossly overused and fundamentally incoherent concept … Neither philosophers nor political activists can agree on the nature of human rights or on their extent.”

Complaints that court-ordered sterilization could be abused “should be ignored,” he added. “This argument would inhibit any and every action of social defense.”

Brian Clowes, director of research for Human Life International (HLI), told LifeSiteNews (LSN) that in his view Professor Marsland is just one more in a long line of eugenicists who want to solve human problems by erasing the humans who have them. Clowes compared Marsland to Lothrop Stoddard and Margaret Sanger, prominent early 20th century eugenicists who promoted contraception and sterilization for blacks, Catholics, the poor and the mentally ill and disabled whom they classified as “human weeds.”

He told LSN, “It does not seem to occur to Marsland that most severe child abuse is committed by people he might consider ‘perfectly normal,’ people like his elitist friends and neighbors.”

“Most frightening of all,” he said, “is Marsland’s dismissal of human rights. In essence, he is saying people have no rights whatsoever, because there is no universal agreement on what those rights actually are.”

The program, which aired on Saturday, August 28, also featured a professor of ethics and philosophy at Oxford, who expressed concern about Marland’s proposal, saying, “There are serious problems about who makes the decisions, and abuses.” Janet Radcliffe Richards, a Professor of Practical Philosophy at Oxford, continued, “I would dispute the argument that this is for the sake of the children.

“It’s curious case that if the child doesn’t exist, it can’t be harmed. And to say that it would be better for the child not to exist, you need to be able to say that its life is worse than nothing. Now I think that’s a difficult thing to do because most people are glad they exist.”

But Radcliffe Richards refused to reject categorically the notion of forced sterilization as a solution to social problems. She said there “is a really serious argument” about the “cost to the rest of society of allowing people to have children when you can pretty strongly predict that those children are going to be a nuisance.”

Marsland’s remarks also drew a response from Alison Davis, head of the campaign group No Less Human, who rejected his entire argument, saying that compulsory sterilization would itself be “an abuse of some of the most vulnerable people in society.”

Marsland’s closing comments, Davis said, were indicative of his anti-human perspective. In those remarks he said that nothing in the discussion had changed his mind, and that the reduction of births would be desirable since “there are too many people anyway.”

Davis commented, “As a disabled person myself I find his comments offensive, degrading and eugenic in content.

“The BBC is supposed to stand against prejudicial comments against any minority group. As such it is against it’s own code of conduct, as well as a breach of basic human decency, to broadcast such inflammatory and ableist views.”

Report from the Christian Telegraph

Kazakhstan: "There is no persecution in Kazakhstan"


As Kazakhstan is about to begin the role of 2010 Chairperson-in-Office for the Organisation for Security and Co-operation in Europe (OSCE), the country continues to violate its OSCE human rights commitments, reports Forum 18 News Service.

One Protestant pastor is facing criminal charges for "causing severe damage to health due to negligence" because he prayed with a woman about her health, at her request. The KNB secret police declined to explain why a pastor praying for people attending his church should be a matter for criminal charges.

Asked whether Pastor Kim is being targeted for his faith, the KNB officer told Forum 18 News Service that: "There is no persecution in Kazakhstan". The authorities also continue to throughout Kazakhstan close Christian-run rehabilitation centres for people suffering from drug and alcohol addiction.

Report from the Christian Telegraph

Christians in Vietnam Hold Another Historic Celebration


Largest-ever event in northern part of country encourages house churches.

HANOI, December 21 (CDN) — For the second time in 10 days, Protestant history was made in Vietnam yesterday when 12,000 people gathered for a Christmas rally here.

The event, which took place in the large square in front of the entrance to My Dinh National Stadium in the heart of Hanoi, was said to be 10 times larger than any prior Protestant gathering in history in northern Vietnam. On Dec. 11 in southern Vietnam, an estimated 40,000 people attended a Christmas celebration in Ho Chi Minh City (see “Unprecedented Christmas Gathering Held in Vietnam”).

Local sources said long-requested written permission for the event, entitled “Praise Jesus Together,” never came in spite of several reminders. But four days before the event was to take place, Hanoi authorities and police told organizers – in words as close as they would get to granting permission – that they would “not interfere.”

“One can hardly overestimate the importance of such an event in the lives of northern house church Christians,” said one long-time Compass source. “For many, this will have been the first time to join in a large crowd with other Christians, to feel the growing power of their movement, to hear, see and participate in the high quality, and deeply spiritual mass worship.”

The day before the event, Christians gathered near the stadium for final prayer and to help with preparations. Witnesses said the huge public square at the entrance to the stadium was arrayed with thousands of stools rather than chairs – plastic, backless, and bright blue and red. In 10-foot tall letters, “JESUS’ was emblazoned on the backdrop to the stage.

Invitations had been sent through house church networks even as official permission for the event was still pending. When church leaders decided to move ahead only days before, Christians were asked to send out mass invitations by text-message, leading some to speculate whether this may have been the largest ever such messaging for a Christian event.

Nearby Christians as well as those bussed from more distant areas began to fill the venue hours before the event. They were not dissuaded by a Hanoi cool spell of 12 Celsius (56 Fahrenheit) with a chill wind. Bundled in thick jackets, their heads wrapped in scarves, they waited expectantly without complaint.

They were not disappointed. Witnesses said the throng deeply appreciated a program of outstanding music and dance, a powerful personal narrative followed by a gospel message and an extended time for prayer for the nation. As at the previous event in Ho Chi Minh City on Dec. 11 that house church Christians had long worked and prayed for, the program featured music from Jackson Family Ministries of the United States.

In a world of globalized gospel and praise choruses, songs included hymns such as “How Great Thou Art” as well as classic praise songs such as “Sing Hallelujah to the Lord.” Witnesses said the music was accompanied by tasteful, emotionally engaging dance. Top Vietnamese artists performed, including news songs by Vietnamese songwriters, and a Vietnamese choir of 80 sang, as did a Korean choir.

A young man in his 30s who now pastors two house churches told the crowd how an encounter with Jesus proved more powerful than the grip of drug addiction. His story, simply and humbly told, proved an effective bridge to a Christmas evangelistic message by Pastor Pham Tuan Nhuong of the Word of Life house church. Then the winsome Pastor Pham Dinh Nhan, a top southern house church leader, gave a disarming but strong invitation to follow Jesus, witnesses said.

Organizers said approximately 2,000 people then poured forward in response, packing the large area in front of the stage.

The final portion of the program included a time of intense prayer for the nation, with pastors confessing and praying for righteousness for Vietnam’s leaders, as well as for God’s protection and blessing on their land. In their prayers they claimed Vietnam for Christ, witnesses said.

A high point for the throng was the superimposing of a large white cross on a yellow map of Vietnam on the backdrop. As the Korean choir sang a spirited revival hymn, the crowd raised thousands of hands and exploded in sound.

“The sound of crying, of praise, of prayer were blended as one, beseeching Almighty God for spiritual revival in Vietnam,” said one participant.

The event was streamed live at www.hoithanh.com for Vietnamese and others around the world to see.

Until recently – and still in some places – most Vietnamese meet in small groups in homes knowing at any time there could be a hostile knock on the door, a source said.

“None of these groups is registered or recognized by the government,” the source said of the crowd at yesterday’s event. “What you see is Christians standing up!” 

In addition to this event and the Dec. 11 event in Ho Chi Minh City, a large public Christmas rally was held by the Evangelical Church of Vietnam (North) at the Hoang Nhi church in Nam Dinh Province on Saturday (Dec. 19). Some 2,500 people gathered in the church’s large courtyard, with sources saying 200 responded to an invitation to follow Christ. 

In Tuy Hoa, on the coast of central Vietnam, a Christmas program is planned for Saturday (Dec. 26) in a 4,000- seat theater. Many smaller events are also planned in other areas, part of an unprecedented public display by Vietnam’s Protestants.

At the same time, the freedom for Christians tolerated in large cities has not reached some more remote parts of the country, where ethnic minority Christians live. In Dien Bien Dong district of Dien Bien Province, authorities on Tuesday (Dec. 15) orchestrated immense ethnic social pressure on a new Christian couple to recant. The couple told Compass that police added their own pressure. 

“The police said they would beat me to death, and take away all my possessions, leaving my wife a widow, and my children orphans with no place to live,” the husband told Compass. “I folded. I signed promising that I would no longer follow God. I really want to, but it is very, very hard to be a believer where we live, as the officials will not allow us.”

Report from Compass Direct News 

Pakistani Muslims Allegedly Poison Christian Employees to Death


Two brothers die, third in critical condition, after complaining they were not paid.

GUJRANWALA, Pakistan, December 15 (CDN) — Muslim employers of three Christian sanitation workers at a banquet/wedding hall here allegedly poisoned the three workers yesterday, killing two of them; at press time the third was struggling for life in intensive care.

The father of the three workers, Yousaf Masih, said the owner of the hall, along with the manager, poisoned his sons because they were Christians who had dared to ask for pay owed to them.

Imran Masih, 29, and Irfan Masih, 25, died at the Ferozewala Pul Banquet & Marriage Hall after being forced to drink something that was heavily poisoned, Yousaf Masih said. The third worker, 23-year-old Aakash Masih, was in critical condition at the Intensive Care Unit of Civil Hospital Gujranwala, in Punjab Province.

“It appears from the position they were in that they were forced to consume some kind of poisoned drink, or a drug, and they were left there to die,” Yousaf Masih said. “The administration of the banquet and wedding hall did not call a hospital or take them to a hospital – instead they called us after the death of two of our loved ones.”

The Peoples Colony police station has registered a murder and deception case against Imtiyas Warriach, owner of the Ferozewala Pul Banquet & Marriage Hall, and hall manager Abid Virk. At press time they remained at large.

The chief of the Peoples Colony police station was not available for comment, but an officer told Compass that the two suspects would be arrested soon.

The family learned of the deaths when another of Yousaf Masih’s sons, 21-year-old Javed Masih, received a telephone call at home from the owner, Warriach, saying that his older brother Imran Masih was lying dead on the floor of the wedding hall.

Because they had not been paid, the three brothers had left the hall to work elsewhere before returning this past weekend. Javed Masih said he spoke by telephone on Friday (Dec. 11) with Warriach, when the owner called asking for his three brothers to return to work.

“The owner and manager of the wedding hall called me in the early morning of Dec. 11 and pleaded for my three brothers to rejoin and start working,” Javed Masih said. “They promised to reimburse their previous outstanding wages, as well as pay them a Christmas bonus and overtime. At this my brothers agreed and went to work the next morning.”

When Yousaf and Javed Masih were summoned to the wedding hall yesterday, they found Imran Masih and Irfan Masih dead. Aakash Masih was alive but lying still on the floor, they said.

Yousaf Masih said his sons had long told him that owner Warriach and manager Virk refused to pay their daily wages, and that the managers and staff members at the hall spoke derogatorily to them for being Christians.

“On demand of their daily wages, the owner and manager had threatened them that they would continue to work without payment or face the dire consequences,” Yousaf Masih said. “After my sons rejoined as sanitation workers, both Warriach and Virk started to make fun of them for leaving the job previously. Both the Muslim men mocked my sons for being Christian and called them by pejorative names such as ‘Choohra.’”

Yousaf Masih, 47, told Compass at the Sargodha offices of human rights group Rays of Development Organization that his sons had worked at the same wedding hall since the day it opened in 2005. Sobbing, he said that the owner and manager had never paid them their full wages during that time, so they had begun looking for other work a few weeks before the Islamic festival of sacrifice, called Eid-ul-Azha.

Muslims refrain from marrying during the Islamic month of Muharram, so in the small window of time between the start of that month and the end of the Eid-ul-Azha festival, wedding halls thrive and require all available help, he said.

Javed Masih said the bodies of Imran Masih and Irfan Masih were moved to the morgue at Civil Hospital Gujranwala for autopsy.

Report from Compass Direct News