Using nursing assistants to fill coronavirus gaps brings risks if they’re not up to the job

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Nicole Blay, Western Sydney University; Christine Duffield, University of Technology Sydney, and Michael Roche, University of Technology Sydney

The number of people going to hospital with the coronavirus is expected to rise, putting a strain on our health and aged care services and their workforce.

Australian undergraduate student nurses and those health workers here on visas from overseas are being encouraged to work as nursing assistants during this COVID-19 pandemic.

This is in keeping with the worldwide trend of employing more nursing assistants in health and aged care services.

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But questions remain about the differences in training of nursing assistants compared to regulated nurses (registered and enrolled nurses) and the tasks they are able to undertake.

An unregulated workforce

As nursing assistants are unregulated, their training and clinical practice is not controlled by professional bodies or governments.

Training is certainly recommended, but it is not compulsory, and content between training organisations can be different. Therefore, nursing assistants working in hospitals and residential aged care facilities may have completed an on-line course, a Certificate III qualification, completed one year of undergraduate nursing studies or have a nursing qualification from overseas. They may have had no training at all.

Visa holders can work as a nursing assistant while their overseas nursing qualifications are being assessed by the Nursing and Midwifery Board of Australia.

It is these last two examples, undergraduate nursing students in Australia or overseas trained nurses, that the Prime Minister Scott Morrison recommends organisations seek to recruit.

What a nursing assistant can do

Nursing assistants can work under the supervision of a registered or enrolled nurse to help provide basic nursing care such as showering, hair, skin and mouth care. They can assist with activities essential for daily living including helping people with dressing and feeding.

They may also perform simple wound dressings, transport stable patients or residents between beds or wards, and undertake nursing observations such as pulse, temperature and respiratory rates.

Using student nurses and current visa holders seems like a potential solution to a possible staffing crisis. But is it?

For student nurses, there is considerable variation in the course structure offered by universities, who each write their own curricula within the boundaries of the Australian Nursing and Midwifery Accreditation Council.

This means not all students will have had the same clinical experience or completed the same content by a given point in their course. Therefore they may not have equivalent knowledge or skills before working as a nursing assistant.

Patients at risk?

This variation may be a problem and there is a lot of evidence that a higher number of unregulated nurses and a lower number of regulated nurses increases the risk of patient infections and other adverse events in hospitals) and the aged care sector.

For example, nursing people with an infectious disease requires scrupulous attention to detail and meticulous use of Personal Protective Equipment (PPE) to prevent further spread.

There are correct ways to apply and remove a mask and gown. A tiny slip-up can put the wearer and others at risk of contamination.

Working as nursing assistants can provide undergraduate students with valuable clinical experience. Our recent research shows most nursing activities performed by nursing assistants are those personal care activities described above.

But we found around one-third of tasks they performed require a higher level of skill and knowledge and should therefore be performed by regulated nurses.

This may explain why the rate of adverse events increases with more unregulated nurses. With the projected increase in patients who may need intensive care, experienced qualified nurses who can work without supervision will be needed.

Can retired nurses help?

Some have recommended recruiting retired nurses to help staff intensive care units. Again, this is fraught with problems.

Working nurses are ageing – the average age is about 45 – with two out of five aged 50 and over. So most retired nurses are likely in their 60s or older.

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The two age groups – the over 50s and the over 60s – are precisely those at risk of a severe response to the coronavirus, which could make staffing shortages and the demand for beds much worse.

Perhaps a more effective and sustainable solution would be to use Australian Defence Force nurses who are all regulated, presumably fit and who have been prepared to deal with emerging crises at short notice.

Australia is clearly going to need innovative ways to ease pressure on the health workforce over the coming months. If we’re going to recruit student nurses and current visa holders, we need to make sure all have been trained and assessed to the same standard.

Nicole Blay, Research Fellow – workforce, Western Sydney University; Christine Duffield, Professor, Nursing and Health Services Management, Faculty of Health, University of Technology Sydney, and Michael Roche, Associate Professor Mental Health Drug and Alcohol Nursing, University of Technology Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Christian Nursing Student Nearly Dies from Assault in Pakistan

She charges Muslim doctors threw her from hospital window after gang-rape.

KARACHI, Pakistan, July 26 (CDN) — A Catholic nurse trainee has regained consciousness after a Muslim doctor allegedly raped her and threw her from a hospital’s fourth-floor window this month.

The student nurse told media and rights groups that on July 13 several Muslim men, led by Dr. Abdul Jabbar Meammon, beat and raped her, and then threw her from the window of Jinnah Postgraduate Medical Center (JPMC) to keep her from revealing the abuse.

Meammon, who had taken over a room in the all-female wing of the hospital, has a history of abusing Christian nurses, a hospital administrator said. Dr. Seemi Jamali, chief of JPMC’s Emergency Department, told Compass that Meammon had been suspended from the hospital seven times for drinking alcohol on the job and other misbehavior, and that he was drunk when he assaulted Ashraf.

A medico-legal officer at the hospital who carried out autopsies, Meammon was forcibly occupying a room in the women-only wing of the doctors’ hostel, Jamali said. She added that Meammon is an influential figure backed by a leading political party in Karachi.

The third-year student nurse, Magdalene Ashraf, was unconscious for 56 hours as surgeons fought for her life at the intensive care unit of JPMC and is still in critical condition. On July 19 she gave a statement to police that has not been released. Later that day she spoke to media and a lawyer from the Christian Lawyers’ Foundation (CLF), saying several men took hold of her at 4:30 p.m. on July 13, and after abusing her for several hours threw her from the window.

Ashraf said that fellow nurse Sajjad Fatima tricked her into going into Meammon’s room by telling Ashraf that he wanted to talk with her about a grade on a class assignment. When she arrived, she told media and the CLF, another doctor and Meammon’s driver were also present, and that Meammon grabbed her.

“When I resisted and tried to escape, nurse Fatima slapped both my cheeks and pushed me into Dr. Jabbar,” Ashraf said. “I cried out but no one arrived there to rescue me. They not only gang-raped me, they also tortured me physically and ruthlessly beat me.”

She dismissed claims by Meammon that she jumped out the window.

“If I had jumped myself, my legs would have been fractured, and I would not have had injuries to my head, brain and shoulders,” she said.

Khalid Gill, head of the All Pakistan Minorities Alliance in Punjab Province, told Compass that Meammon had a history of sexually harassing female Christian students at the teaching hospital.

Gill and the Rev. Azher Kaleem, general secretary of the Christian Lawyers’ Foundation (CLF), said that after Ashraf was thrown out the window, Meammon also jumped down in order to portray himself as innocent, claiming people trying to harm him were pursuing him as well. His hip injury from the jump was treated at the better-equipped Agha Khan Hospital, where he was hand-cuffed and his feet shackled before being transferred to a holding cell to face charges.

The Rev. Khadim Bhutto of advocacy organization Gawahi Mission Trust told Compass that he had the opportunity to speak with Meammon. According to Bhutto, Meammon said that he was relaxing in his room when Magdalene ran in followed by five unidentified men, from whom both of them eventually fled.

Bhutto said that Meammon was grinning about the incident as he told his version, seemingly pleased with what he had done.

The pastor said police have only charged Meammon and his accomplices with attempted murder, but that Christian organizations are urging police to file gang-rape charges. He added that police have also arrested Dr. Ferhat Abbas and another doctor identified only as Tayyab and are holding them at an undisclosed location.

A preliminary medical examination indicated that Ashraf was raped and tortured, said Natasha Riaz, a fourth-year nursing student.

“The swabs taken from her have confirmed that she was raped, and apart from Dr. Meammon, five other men were also involved,” Riaz said.

One of Ashraf’s family members told Compass that they have continued to receive threats from Meammon; the relative also said that Ashraf had complained of being harassed by him.

Dr. Donald Mall, an administrator with Seventh Day Adventist Hospital, told Compass after visiting the victim that there “are hundreds of rape cases of Christian nurses by doctors which go unreported in Pakistan,” and that the Sindh Province Health Department has ignored them.

Police sources told Compass that they are searching for Fatima, the nurse who is an alleged accomplice of the alleged rapists, and Meammon’s driver, identified only as Arshad, both still at large. Police said that when they arrived at the hospital, administrators stalled them long enough for Fatima to escape.

Since the assault, Christians have staged several demonstrations against religiously motivated violence such as the alleged assault on Ashraf and the July 19 murder of the Rev. Rashid Emmanuel and his brother Sajid Emmanuel, who were accused under Pakistan’s “blasphemy” laws. The latest demonstrations took place in Karachi on Saturday (July 24), and in Sargodha and Lahore the next day.

Report from Compass Direct News

Recent Incidents of Persecution

Karnataka, India, January 7 (CDN) — Police led by Hindu extremists accused a pastor without basis of forceful conversion, reprimanded him for praying without government permission and stopped the Sunday worship of his India People Ministry church on Dec. 27 in Koppa. The Global Council of Indian Christians reported that police further warned Pastor D.M. Kumar that he would be arrested if he conducted future worship services.

Karnataka – Members of the Hindu extremist Bajrang Dal accused Christian nurses at Pandapura government hospital of forceful conversion for conducting a small Christmas program on Dec. 25 in Mandhya. The Global Council of Indian Christians reported that at about 2 p.m., Sophia Parinamala Rani and two others identified only as Philomina and Bajamma organized a small, customary Christmas meeting for staff members and patients, inviting a guest to speak about Christ. Some 20 Hindu extremists reached the hospital and, manhandling the speaker, accused the nurses of forceful conversion. Pandapura police forcefully obtained an apology letter from the nurses, who received a show-cause notice ordering them to explain the meeting to hospital authorities.

Andhra Pradesh – A Hindu extremist roughed up two Christians at a worship meeting on Dec. 23 in Mahabubnagar. The All India Christian Council reported that a pastor identified only as Prabudas and a doctor identified only as Nehemiah were on their way to a service when a Hindu hardliner and karate master, Satya Narayana, pushed and punched them, threatening to file a case of forceful conversion against them. He threatened them with more violence if they continued Christian activities in the area. Local Christian leaders were taking steps to protect the two men at press time.

New Delhi – Hindu extremists assaulted Christians attending a Christmas program of the Full Gospel Church of God on Dec. 22 at Nagafgarh. A source reported that the Hindu hardliners threatened pastors Benny Stephen, K. Cherian and Stephen Joseph, claiming that the program they were attending aimed to convert people by force, and then attacked them. Pastor Joseph suffered injuries to his left leg and back, Pastor Benny to his back and face and Pastor Cherian to his head. Pastor Joseph told Compass that no police complaint was filed as the Christians forgave the attackers.

Tamil Nadu – Hindu extremists attacked a group of Christians on Dec. 20 in Mangalam, Nagercoil. The Global Council of Indian Christians reported that Hindu extremists objected to a digital sign Christians put up stating details of an impending Christmas celebration and warned them to remove it. When the Christians refused, the extremists beat them, and some of them received hospital treatment for their injuries. A police complaint was filed, but no arrests had been made at press time. 

Andhra Pradesh – Police arrested Pastor P. Benjamin after a Hindu extremist filed a complaint against him of forceful conversion on Dec. 20 in Hyderabad. The Global Council of Indian Christians reported that Pastor Benjamin, of Holy Spirit Church, spoke of Christ with about 200 children at a Christmas program organized by a nearby area’s Christian youth leader. As Pastor Benjamin reached his home, local Christian leaders informed him that police had filed charges of forcible conversion against him under Section 295/A of the Indian Penal Code. Applications for bail were twice rejected. Area Christian leaders were taking an appeal to a higher court, and the pastor’s family was relocated as a security precaution.

Maharashtra – Hindu extremists from the Bajrang Dal on Dec. 20 attacked members of Christian ministry Operation Mobilization in Manchar and took their film equipment. The All India Christian Council (AICC) reported that about 100 extremists attacked the organization’s screening of a Christian film, organized by the area pastor with the permission of the village head. As the movie ended, the Hindu hardliners rushed in, verbally abused the Christians for their faith and took a film projector and DVD player. Moses Vatipalli of the AICC told Compass that area leaders of Hindu extremist groups were planning to meet with Christian leaders to settle the matter.

Andhra Pradesh – Hindu extremists in Karimnagar on Dec. 15 beat 65-year-old Pastor S. Devavaram and other Christians, accusing them of forceful conversion. The Global Council of Indian Christians reported that Pastor Devavaram and five youths were distributing Christmas literature after obtaining permission from the deputy superintendent of police. At about 9 a.m. a mob of 20 Hindu extremists stopped their vehicle, dragged the pastor out and accused him of forceful conversion. They beat the pastor, tied his hands and locked him and the other Christians in a room till 5 p.m. On learning that the pastor and the other five had been abducted, 10 Christians reported it to police. Officers arrived at the site of the assault and took the Christians to the police station, where the extremists filed a complaint of forcible conversion against the pastor and his team. Police took written statements from the Christians and released them without charges at 6 p.m.

Prisoners Freed in Acteal, Mexico Case Yet to Return Home

 

Christians bear no grudges, fear no threats from accusers.

TUXTLA GUTIERREZ, Mexico, October 12 (CDN) — Alonso Lopez Entzin, a Tzotzil-speaking Christian in Chiapas state, Mexico, spent 11 years and eight months in prison for a crime he did not commit. Accused of participating in the tragic “Acteal massacre” in December 1997 in which 45 persons died near San Cristobal de las Casas, he and more than 80 of his neighbors were summarily arrested and charged with the murders.On Aug. 12, the Federal Supreme Court of Mexico ordered that Lopez Entzin and 19 other indigenous men accused in the Acteal killings – 18 are Christian, including Lopez Entzin – be freed from El Amate Penal facility in Chiapas. Their release came as a surprise to him and his fellow prisoners, as well as to thousands of people in Mexico and around the world advocating their release.

Of the 18 Christians released, only five were Christians when they were arrested; the rest came to trust in Christ while in prison. At least 27 innocent men who were Christians at the time of their arrest remain in prison, according to advocacy organizations.

“I thank God that I have been granted freedom,” Lopez Entzin told Compass. “We are no longer imprisoned thanks to the power of God. There is no other person that has this kind of power, only God.”

The court is reviewing the cases of another 31 men convicted in connection with the massacre. Six more defendants will be granted new trials.

“Right now we see the first fruits of our prayers,” said Tomas Perez Mendez, another of the 20 freed prisoners. “We are confident in the Lord that the rest of the brothers are going to obtain their freedom as well.”

Lopez Entzin added that winning their freedom will not be easy.

“When we were inside El Amate, we began to pray, fast and glorify our Lord Jesus Christ. There are thousands and thousands of brothers who prayed for us inside the jail – thank God He answered those prayers,” he said through tears. “That’s why those brothers who remain behind in El Amate believe that if God’s will is done, they will soon be free.”

Most of the remaining Acteal inmates are evangelical Protestant Christians sentenced to 25- and 36-year prison terms. For years, human rights advocates and legal experts have presented legal arguments showing that the men were convicted on dubious evidence. The district court of the state of Chiapas, however, has consistently ruled against the defendants in appeals.

Attorneys for the defendants finally succeeded in bringing the case before the Federal Supreme Court in Mexico City. The justices who reviewed the case found clear violations of due process and on Aug. 12 overturned the convictions in a 4-1 decision.

The court ruling stated that the decision was not a determination of the guilt or innocence of the men, only that their constitutional rights had been violated during their arrest and conviction.

Though grateful to be free at last, Agustin Gomez Perez admitted that prison was “very difficult, very difficult indeed.”

“There inside the jail, everybody loses,” Gomez Perez said. “I saw it. Many lost their wives, their families, their homes. In the years I was in jail I lost my son. It was May 7, 2005. Twelve families were traveling in a truck to visit us in El Amate. They had an accident, and my 3-year-old son Juan Carlos was killed.”

Inmates expressed gratitude for church groups and international organizations that lent support to their families during their incarceration. Some groups supplied chicks, piglets and coffee plants for wives and children to raise on family plots. A volunteer team of doctors and nurses from Veracruz provides free treatment to prisoners and their dependents.

The prisoners said that one of the greatest helps was regular visits from their families. International Christian organizations raised money for bus fares and chartered vehicles to ensure that the prisoners’ families, who could not otherwise afford the travel, saw their husbands and fathers as often as possible.

Normalcy Not Returned

Despite being freed, the 20 men have yet to resume normal life with their families.

“When I left jail, I didn’t think I would be stuck half-way home,” Gomez Perez said. “I was thinking I would come home and see my wife and children. But we haven’t got there. We are left here half-way home.”

“Half-way home” for the released men is the market district in hot, bustling Tuxtla Gutierrez. They are living in makeshift half-way houses provided by the federal government, awaiting resettlement on land that state authorities have promised them.

Compass met with seven of the former inmates in a rented building they occupy with their wives, children and, in some cases, grandchildren. The families share windowless, sparsely furnished rooms with bare cement floors. Government food rations sustain them. While the half-way house is better than prison, it is nothing like the lush, green Chiapas mountains to which they long to return.

The men agreed to the relocation scheme because the farms they worked before going to prison have long since reverted to their heirs or, in some cases, neighbors. They welcome the assistance to get back on their feet financially.

Government officials, however, insist that the Acteal prisoners must relocate to new communities because they fear violent clashes will flare between them and their old rivals.

The seven freed men were unanimous in their opinion that such confrontations would not happen.

“In the first place, we do not agree with what the government is saying,” Gomez Perez said. “We hold no grudges against those who accused us. What happened, happened. We are not thinking vengeance.”

Perez Mendez agreed with Gomez Perez that the men feel no ill will against those who accused them and no resentment for what they suffered in jail.

“God does not want that we hold grudges or take vengeance against anyone,” he said. “There is not really much danger out there in our communities either. When people saw the news on television on Aug. 12 that we were getting out, they were happy. Well, now we hear that they found out we are not coming home, that we are here in Tuxtla, and some are saying, ‘Why don’t they come home? Tell them to come.’”

The Acteal prisoners have reason to hold grudges. Their attorneys say many of them were arrested in random police sweeps in the days following the massacre simply by being in the wrong place at the wrong time. Public indignation over the brutal slayings, fueled by numerous inflammatory press releases from Las Abejas, a civic group whose members were primary targets in the massacre, as well as by the left-leaning human rights organization Fray Bartolomé de las Casas, swelled to fever pitch in December 1997.

Authorities responded by arresting dozens of “suspects,” without evidence or warrants, to quell the outcry.

Some Acteal defendants found themselves accused of the crime by allies of the rebel Zapatista guerrilla army. A land dispute between Zapatista sympathizers and opponents of the rebels intensified during the waning months of 1997, claiming the lives of 18 indigenous men, the majority of them Protestant Christians. Attorneys say indifferent law enforcement officers failed even to investigate the murders, let alone arrest the perpetrators.

Frustrated with the authorities’ foot-dragging and desperate to defend themselves against further aggression, nine indigenous young men armed themselves and confronted their enemies on Dec. 22, 1997. The ensuing firefight and subsequent massacre at the Catholic hermitage in Acteal ended with 45 dead, many of them women and children who were participating in an Abejas-sponsored program that day.

Five of the nine armed men have confessed to participating in the Acteal shootings and insist they acted alone. Those five are serving prison terms in El Amate. Two others were arrested and released because they were minors at the time of the crime. Two more remain at large and, ironically, have reportedly come under the protection of the Zapatistas.

Las Abejas and its allies continue to assert that that the Acteal killings were carried out by “paramilitary” units equipped and assisted by the Mexican army. With the passage of time, many of those who hold this thesis have admitted that most of the Acteal prisoners did not, in fact, participate in the shooting. Nevertheless, they insist that until the “intellectual authors” of the atrocity come forward and confess, not one prisoner – even though innocent of the crime – should be released.

That strange logic has helped to keep more than 50 innocent men in prison for nearly 12 years.

“It is certain that we suffered an injustice for nearly 12 years,” Perez Mendez said. “A lot of people tell us that we are guilty. But as far as we are concerned, God knows all. We did not commit that crime.

He implored Christians to pray for the innocent men who have yet to be released.

Pray as well for we who are not at home in our communities,” he said. “I ask that you not forget us.”Report from Compass Direct News 

PAKISTAN: CHRISTIANS BRACE FOR SHARIA IN SWAT VALLEY

Accepting Islamic law in exchange for peace leaves many uncertain, fearful.

ISTANBUL, March 27 (Compass Direct News) – Just over a month since Pakistan’s fertile Swat Valley turned into a Taliban stronghold where sharia (Islamic law) rules, the fate of the remaining Christians in the area is uncertain.

Last month, in an effort to end a bloody two-year battle, the Islamabad administration struck a deal with Taliban forces surrendering all governance of Swat Valley in the North West Frontier Province (NWFP). Sources told Compass that after the violence that has killed and displaced hundreds, an estimated 500 Christians remain in the area. Traditionally these have been low-skilled workers, but younger, more educated Christians work as nurses, teachers and in various other professions.

The sole Church of Pakistan congregation in Swat, consisting of 40 families, has been renting space for nearly 100 years. The government has never given them permission to buy land in order to build a church building.

An associate pastor of the church in central Swat told Yousaf Benjamin of the National Commission for Justice and Peace that with the bombing of girls schools at the end of last year, all Christian families migrated to nearby districts. After the peace deal and with guarded hope for normalcy and continued education for their children, most of the families have returned to their homes but are reluctant to attend church.

The associate pastor, who requested anonymity, today told sources that “people don’t come to the church as they used to come before.” He said that although the Taliban has made promises of peace, the Christian community has yet to believe the Muslim extremists will hold to them.

“The people don’t rely on Taliban assurances,” said Benjamin.

Last week the associate pastor met with the third in command of the main Taliban militant umbrella group in Pakistan, Tehrik-i-Taliban Pakistan, Kari Abdullah, and requested land in order to build a church. Abdullah reportedly agreed, saying that Islam is a religion of peace and equality, and that his group intended to provide equal opportunities to the religious communities of Swat.

The Catholic Church in Swat is located in a school compound that was bombed late last year. Run by nuns and operated under the Catholic Church Peshawar Diocese, the church has been closed for the last two years since insurgents have been fighting government led forces, source said.

Parliamentarian Shahbaz Bhatti said Christians and the few Hindus in Swat valley have lived under terror and harassment by the Taliban since insurgents began efforts to seize control of the region. He met with a delegation of Christians from Swat last month who said they were concerned about their future, but Bhatti said only time will tell how the changes will affect Christians.

“The Christian delegation told me that they favor the peace pact if indeed it can bring peace, stability and security to the people living there,” he said. “But they also shared their concern that if there is enforcement of sharia, what will be their future? But we will see how it will be implemented.”

Although there have been no direct threats against Christians since the establishment of the peace accord, some advocates fear that it may only be a matter of time.

“These days, there are no reports of persecution in Swat,” Lahore-based reporter Felix Qaiser of Asia News told Compass by phone, noting the previous two years of threatening letters, kidnappings and aggression against Christians by Islamic extremists. “But even though since the implementation of sharia there have been no such reports, we are expecting them. We’re expecting this because other faiths won’t be tolerated.”

Qaiser also expressed concern about the treatment of women.

“They won’t be allowed to move freely and without veils,” he said. “And we’re very much concerned about their education there.”

In the past year, more than 200 girls schools in Swat were reported to have been burned down or bombed by Islamic extremists.

Remaining girls schools were closed down in January but have been re-opened since the peace agreement in mid-February. Girls under the age of 13 are allowed to attend.

Since the deal was struck, seven new sharia judges have been installed, and earlier this month lawyers were trained in the nuances of Islamic law. Those not trained are not permitted to exercise their profession. As of this week, Non-Governmental Organizations are no longer permitted in the area and vaccinations have been banned.

“These are the first fruits of Islamic law, and we’re expecting worse things – Islamic punishment such as cutting off hands, because no one can dictate to them,” Qaiser said. Everything is according to their will and their own interpretation of Islamic law.”

 

Launch Point for Taliban

Analysts and sources on the ground have expressed skepticism in the peace deal brokered by pro-Taliban religious leader Maulana Sufi Muhammad, who is also the leader of Tehrik-e-Nifaz-e-Shariat-e-Mohammadi. The insurgent, who has long fought for implementation of sharia in the region, has also fought alongside the Taliban against U.S. troops in Afghanistan.

He was imprisoned and released under a peace deal in April 2008 in an effort to restore normalcy in the Swat Valley. Taliban militants in the Swat area are under the leadership of his son-in-law, Maulana Fazlullah.

The agreement to implement sharia triggered alarm around the world that militants will be emboldened in the northwest of Pakistan, a hotbed for Taliban and Al-Qaeda extremists fighting Western forces in Afghanistan and bent on overthrowing its government.

Joe Grieboski of the Institute on Religion and Public Policy said the peace deal makes Talibanization guaranteed by law, rendering it impossible to return to a liberal democracy or any guarantee of fundamental rights.

“The government in essence ceded the region to the Taliban,” said Grieboski. “Clerical rule over the region will fulfill the desires of the extremists, and we’ll see the region become a copy of what Afghanistan looked like under Taliban rule.”

This can only mean, he added, that the Taliban will have more power to promulgate their ideology and power even as the Pakistani administration continues to weaken.

“Unfortunately, this also creates a safe launching off point for Taliban forces to advance politically, militarily and ideologically into other areas of the country,” said Grieboski. “The peace deal further demonstrates the impotence of [Asif Ali] Zardari as president.”

Grieboski said the peace deal further demonstrates that Pakistani elites – and President Zardari in particular – are less concerned about fundamental rights, freedom and democracy than about establishing a false sense of security in the country.

“This peace deal will not last, as the extremists will demand more and more, and Zardari and the government have placed themselves in a weakened position and will once again have to give in,” said Grieboski.

Sohail Johnson, chief coordinator of advocacy group Sharing Life Ministry Pakistan, said he fears that militants in Swat will now be able to freely create training centers and continue to attack the rest of Pakistan.

“They will become stronger, and this will be the greatest threat for Christians living in Pakistan,” said Johnson.

Thus far the government has not completely bowed to Taliban demands for establishment of full sharia courts, and it is feared that the insurgents may re-launch violent attacks on civilians until they have full judicial control.

“The question of the mode of implementation has not yet been decided, because the Taliban want their own qazis [sharia judges] and that the government appointed ones should quit,” said lawyer Khalid Mahmood, who practices in the NWFP.

Mahmood called the judiciary system in Swat “collapsed” and echoed the fear that violence would spread in the rest of the country.

“They will certainly attack on the neighboring districts,” he said.

Earlier today, close to the Swat Valley in Khyber, a suicide bomber demolished a mosque in Jamrud, killing at least 48 people and injuring more than 150 others during Friday prayers. Pakistani security officials reportedly said they suspected the attack was retaliation for attempts to get NATO supplies into Afghanistan to use against Taliban fighters and other Islamist militants.

Report from Compass Direct News

PAKISTAN: TWO FEMALE NURSING STUDENTS ACCUSED OF BLASPHEMY

Two female Christian students of Fatima Memorial Hospital’s nursing school in the Pakistani city of Lahore, have been accused of desecrating verses of the Quran, the Muslim holy book, days after their Muslim roommates desecrated a picture of Jesus Christ which they had hung in a shared hostel room, reports Dan Wooding and Sheraz Khurram Khan, special to ASSIST News Service.

ANS has learnt that some days back the Muslim nursing students took a strong exception to the hanging of Jesus’ picture on the wall.

Islamic tradition explicitly prohibits images of Allah, Muhammad and all the major figures of the Christian and Jewish traditions.

Muslim students desecrated the picture by tearing it up and hurling it down after the Christian students refused to remove it voluntarily.

The administration of the Nursing School allegedly took no action against the Muslim students, who committed the alleged profanity.

Christian-Muslim tension among students of the nursing school escalated on Feb. 13 when the Muslim students, who still harbored acrimony against their Christian roommates, accused them of desecrating Quranic verses.

The National Director of Centre for Legal Aid, Assistance and Settlement (CLAAS), Mr. Joseph Francis, and Chief Coordinator of the Sharing Life Ministry Pakistan, Mr. Sohail Johnson, visited scene of the incident after a Christian woman Fouzia informed Sohail by phone about the incident on Saturday morning (Feb. 14).

Talking to ANS by phone, Mr. Sohail Johnson, pointed out a dichotomy between the versions of the Muslim Medical Superintendent, Ayesha Nouman, and the Christian hostel warden, Martha.

In an apparent bid to cover up the matter, Ayesha told the visiting activists that things had returned to normal and the Christian girls who were accused of blasphemy were at the hostel.

Martha, the Christian hostel warden, however, disputed her superior’s version, claiming that the Christian girls accused of blasphemy were not currently staying at the hostel, Sohail told ANS.

“She expressed ignorance about the whereabouts of the nursing students and would not speak any further on the subject for fear of getting into possible trouble herself,” said Sohail Johnson, whose ministry primarily works for Christian prisoners.

ANS further learnt that an “anti-blasphemy” demonstration was staged in front of Iqbal Avenue Hostel near Shaukat Khanum Cancer Memorial Hospital in Lahore on Feb. 13. The demonstrators included Muslim nursing students and people, who were not students of the Nursing School. The angry protesters demanded stringent legal action against the Christian nursing students, one of whom has been identified as Sitar.

Giving out statistics, Sohail said the Fatima Memorial Hospital Nursing School enrolled some 160 nursing students for year 2009.

“I regret that the two Christian students have to face blasphemy accusation. Of course, they managed to get enrolment at the nursing school after a cut-throat competition with Muslim students,” said Sohail Johnson. “The nursing school, Sohail said received some 1400 applications for 2009 session.”

In May 2007, four female Christian Nursing students of Pakistan Institute of Medical Sciences (PIMS) in the capital of Pakistan, Islamabad, were accused of blasphemy. The blasphemy charges were dropped as the committee that was constituted to probe into the blasphemy allegations found the Christian girls innocent.

Sohail Johnson expressed concern over recent abuse of the law by educated people.

He stated, “One could see why ignorant or illiterate people could abuse the law but the misuse of the law by the educated people is a cause of serious concern and has made non-Muslims more vulnerable to the rampant abuse of the law.”

He hailed Christian nurses’ services in the medical sector.

“By implicating Christian nurses in blasphemy cases, it appears some elements want to discourage Christian women from entering medical sector,” he feared. He underscored the need for drawing up a strategy to deal with blasphemy complaints.

Asked how one could expect the police to exercise their duties in an impartial manner while handling blasphemy-accused or blasphemy-related complaints, the human rights activist suggested that workshops should be offered to them (Police) with a view to reform their attitude towards people accused of blasphemy.

“The police often play in the hands of the influential people that also include politicians,” alleged Sohail.

Asked how the international community could influence the Pakistan government to scrap laws perceived as discriminatory by minorities, Sohail Johnson said it could do a number of things. The concerned people, he said, could write letters to the ambassadors of Pakistan in their respective countries.

Report from the Christian Telegraph