Diarrhoea, stomach ache and nausea: the many ways COVID-19 can affect your gut



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Vincent Ho, Western Sydney University

Media reports earlier this week described a Queensland nurse with stomach pains who went on to test positive for COVID-19.

Could stomach pains be another symptom of COVID-19? And if you have stomach pains, should you get tested?

Although we might think of COVID-19 as a respiratory disease, we know it involves the gut. In fact SARS-CoV-2, the virus that causes COVID-19, enters our cells by latching onto protein receptors called ACE2. And the greatest numbers of ACE2 receptors are in the cells that line the gut.

COVID-19 patients with gut symptoms are also more likely to develop severe disease. That’s partly because even after the virus has been cleared from the respiratory system, it can persist in the gut of some patients for several days. That leads to a high level of virus and longer-lasting disease.

We also suspect the virus can be transmitted via the faecal-oral route. In other words, the virus can be shed in someone’s poo, and then transmitted to someone else if they handle it and touch their mouth.




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What type of gut symptoms are we talking about?

A review of more than 25,000 COVID-19 patients found about 18% had gastrointestinal symptoms. The most common was diarrhoea followed by nausea and vomiting. Abdominal pain was considered rare. In another study only about 2% of COVID-19 patients had abdominal pain.

Some people believe COVID-19 causes abdominal pain through inflammation of the nerves of the gut. This is a similar way to how gastroenteritis (gastro) causes abdominal pain.

Another explanation for the pain is that COVID-19 can lead to a sudden loss of blood supply to abdominal organs, such as the kidneys, resulting in tissue death (infarction).

Are gut symptoms recognised?

The US Centers for Disease Control has added diarrhoea, nausea and vomiting to its list of recognised COVID-19 symptoms.

However, the World Health Organisation still only lists diarrhoea as a gastrointestinal COVID-19 symptom.

In Australia, nausea, diarrhoea and vomiting are listed as other COVID-19 symptoms, alongside the classic ones (which include fever, cough, sore throat and shortness of breath). But abdominal pain is not listed.

Advice about symptoms that warrant testing may vary across states and territories.

How likely is it?

Doctors often use the concept of pre-test probability when working out if someone has a particular disease. This is the chance a person has the disease before we know the test result.

What makes it difficult to determine the pre-test probability for COVID-19 is we don’t know how many people in the community truly have the disease.

We do know, however, COVID-19 in Australia is much less common than in many other countries. This affects the way we view symptoms that aren’t typically associated with COVID-19.

It’s far more common for people’s abdominal pain to be caused by something other than COVID-19. For example, about a quarter of people at some point in their lives are known to suffer from dyspepsia (discomfort or pain in the upper abdomen). But the vast majority of people with dyspepsia do not have COVID-19.

Similarly, irritable bowl syndrome affects about 9% of Australians, and causes diarrhoea. Again, the vast majority of people with irritable bowel syndrome do not have COVID-19.

So how about this latest case?

In the Queensland case, we know the nurse was worried he could have had COVID-19 because he was in close contact with COVID-19 patients.

As he seemed otherwise healthy before developing new abdominal symptoms, and considering he worked on a COVID ward, his pre-test probability was high. Doctors call this a “high index of suspicion” when there is a strong possibility someone may have symptoms due to a disease such as COVID-19.

What does this mean for me?

If you have new gastrointestinal symptoms and you’ve potentially been in contact with someone with COVID-19 or if you also have other classic COVID-19 symptoms (fever, cough, shortness of breath and sore throat) you should definitely get tested.

If you have just gastrointestinal symptoms, you may need to get tested if you’re in a “hotspot” area, or work in a high-risk occupation or industry.

If you have gastrointestinal symptoms alone, without any of these additional risk factors, there is no strong evidence to support testing.




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However, if COVID-19 becomes even more common in the community, these symptoms now regarded as uncommon for COVID-19 will become more common.

If you have concerns about any gastrointestinal symptoms, seeing your GP would be sensible. Your GP will provide a balanced assessment based on your medical history and risk profile.




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The Conversation


Vincent Ho, Senior Lecturer and clinical academic gastroenterologist, Western Sydney University

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

Christian in India Suffers Miscarriage in Hindu Extremist Attack


Four pastors also injured in Karnataka, hub of anti-Christian persecution.

NEW DELHI, October 13 (CDN) — Police in a south Indian state known for turning hostile to minority Christians in recent years have arrested two suspected Hindu nationalists for beating four pastors and striking the wife of one of them in the stomach, killing her unborn child.

The attack took place at a Christian gathering in a private Christian school to celebrate the birth of Mahatma Gandhi on Oct. 2 in Chintamani, in Karnataka state’s Kolar district, reported the Global Council of Indian Christians (GCIC).

About 40 people barged into New Public School during the concluding prayer that morning and began selectively beating the pastors and Kejiya Fernandes, wife of one identified only as Pastor Fernandes. Chintamani police arrived but the attack went on, and when it ended at noon officers took the Christians to the station instead of arresting the attackers.

Denied medical attention, the injured Christians were released at 7:30 p.m. only after Kejiya Fernandes began to bleed profusely, GCIC reported. She and her husband later received hospital treatment, where she lost the baby she had been carrying for four months, according to GCIC.

Pastor Fernandes received an injury to his ear. The three other victims, identified only as pastors Robert, Muthu and Kenny, all ministered in a local independent church.

Of the 12 suspects named in the police complaint, two were arrested the same day, and the rest are absconding, said attorney Jeeva Prakash, who is associated with the Evangelical Fellowship of India’s (EFI) advocacy department.

The police complaint against the 12 includes “causing death of quick unborn child by act amounting to culpable homicide” (Section 316 of the Indian Penal Code), and “intentional insult with intent to provoke breach of the peace” (Section 504). No charges related to defiling a religious place or gathering or creating communal conflict were included.

All the accused are residents of Chintamani city and suspected to be associated with Hindu nationalist groups.

The attack was reportedly carried out to avenge an alleged insult to Hindu gods during the Christian gathering, with the accused also having filed a police complaint, added Prakash, who visited the area and the Christian victims this week.

The complaint against the Christians was for “deliberate and malicious acts intended to outrage religious feelings or any class by insulting its religion or religious beliefs” (Section 295-a), and, strangely, Section 324 for “voluntarily causing hurt by dangerous weapons or means,” among other charges.

The Christians were not arrested, as a court granted them anticipatory bail.

Mohandas Karamchand Gandhi, whose birthday the Christians were celebrating, was friends with Christian missionaries during British rule and taught religious tolerance. The acclaimed Hindu, India’s greatest political and spiritual leader, was killed in 1948 by Nathuram Godse, who was allegedly influenced by the ideology of the Hindu extremist conglomerate Rashtriya Swayamsevak Sangh.

For the last three years, Karnataka has been seen as the hub of Christian persecution in India. Of the more than 152 attacks on Christians in 2009, 86 were reported in Karnataka, according to the EFI.

This year, too, Karnataka is likely to top anti-Christian attacks. According to the GCIC, at least 47 attacks on Christians in the state had been reported as of Sept. 26. Persecution of Christians in Karnataka increased particularly after the August 2008 anti-Christian mayhem in eastern Orissa state, where Maoists killed a Vishwa Hindu Parishad leader but Hindu extremists wrongly blamed it on local Christians.

The attacks in Orissa’s Kandhamal district killed more than 100 people and burned 4,640 houses, 252 churches and 13 educational institutions.

While Hindu nationalists had targeted and were working in Karnataka for close to two decades, the Hindu nationalist Bharatiya Janata Party (BJP) came to sole power in the state for the first time in the history of independent India in May 2008. Prior to that, the BJP ruled in coalition with a local party, the Janata Dal-Secular, for 20 months.

It is believed that the victory of the BJP – and later the violence in Orissa, which was also ruled by a coalition that included the BJP – emboldened Hindu extremists, who now enjoy greater impunity due to the party’s incumbency.

Despite the high incidence of persecution of minorities in Karnataka, BJP leaders deny it, alleging complaint are the result of a political conspiracy of opposition parties.

There are a little more than 1 million Christians in Karnataka, where the total population is more than 52 million, mostly Hindus.

 

SIDEBAR

India Briefs: Recent Incidents of Persecution

Karnataka, India, October 13 (Compass Direct News) – Hindu extremists belonging to the Bajrang Dal on Oct. 3 stormed into a Christian worship service, beat those attending and confiscated Bibles in Emarakuntte village, Kolar district. The Global Council of Indian Christians (GCIC) reported that nearly 25 extremists barged into the house of a Christian identified only as Manjunath, where Pastor Daniel Shankar was leading Sunday worship. Verbally abusing those present and falsely accusing them of forcible conversion, the extremists dragged them out and photographed them. Pastor Shankar managed to escape. Police arrived – after the extremists called them – and confiscated the Bibles and a vehicle belonging to the pastor. A GCIC coordinator told Compass that Shankar, accompanied by area pastors, went to the police station the next day, and officers made him give a written statement that he would stop Christian activities in the village. Only then were the Bibles and vehicle returned. No worship was held on Sunday (Oct. 10).

Karnataka – Police on Sept. 5 detained a pastor after Hindu nationalist extremists registered a false complaint of forcible conversion in Doni village, Gadag district. The Global Council of Indian Christians (GCIC) reported that at 8:30 p.m. nearly 100 extremists belonging to the Hindu extremist Rashtriya Swayamsevak Sangh stormed the worship of an Indian Pentecostal Church at the home of a Christian identified only as Nagaraj. A GCIC coordinator told Compass that the extremists repeatedly slapped Pastor Mallikarjuna Sangalad, dragged him outside and tore his shirt. They also tore up a few Bibles of those in the congregation. The extremists called Mundargi police, who arrived at the spot and took Pastor Sangalad to the police station as the slogan-shouting extremists followed. Police questioned the pastor for over two hours and warned him against leading services. With GCIC intervention Sangalad was released at around 11 p.m. without being charged, but he was forced to sign a statement that he would not conduct services at Nagaraj’s home.

Karnataka – Police on Sept. 3 stopped worship and falsely accused a pastor of forcible conversion, threatening to jail Christians if they continued religious activities in Ganeshgudi village. A Global Council of Indian Christians coordinator told Compass that Ramnagar police Sub-Inspector Babu Madhar, acting on an anonymous accusation of forcible conversion, disrupted worship and threatened Calvary Fellowship Prayer Centre Pastor P.R. Jose as nearly 40 congregants of the house church looked on. The sub-inspector warned the Christians against worshipping there and told Pastor Jose to shut down the church or be arrested. On Sept. 4, however, Madhar returned to the house and informed Pastor Jose that they could continue worship services.

Report from Compass Direct News

Church under Attack in Indonesia Agrees to Change Venue


Congregation accepts offer under condition that government build them permanent building.

JAKARTA, Indonesia, September 29 (CDN) — A West Java church has agreed to move temporarily to a government-selected site following Islamist harassment that included a Sept. 12 attack on two of its leaders.

The Batak Christian Protestant Church (Huria Kristen Batak Protestan, or HKBP) in Ciketing village, Bekasi, decided in a congregational meeting on Sunday (Sept. 26) to accept a government offer to move worship services to the former Organization and Political Party (OPP) building on the condition that local officials will keep a promise to build a new house of worship for them within two years in the Mustika Sari district.

The Rev. Luspida Simanjuntak, who received hospital treatment after she was struck with a wooden plank by suspected Islamic extremists in the Sept. 12 attack, said that the church was ready to stop struggling.

“We are tired of being intimidated and terrorized,” Pastor Simanjuntak said. “We will be able to worship quietly and peacefully.”

Church lawyer Saor Siagian said that the church had accepted the temporary move with the understanding that the Bekasi municipal government must fulfill its pledge. The government will build a new church building to replace the structure the church is leaving on a 2,500-square meter lot belonging to PT Timah, the Government Tin Mining Co. in the Mustika Sari area of Bekasi. The lot is zoned for general and social facilities.

The government had suggested two alternative locations: the PT Timah lot and a 1,900-square meter parcel in the Strada Housing area. The congregation and leaders of HKBP Ciketing chose the PT Timah property.

The first HKBP Ciketing worship service in the former OPP Building took place without incident on Sunday, with the Bekasi government providing buses to transport the congregation to the new site. Pastor Simanjuntak said the congregation is thankful for the new temporary site, but it does not accommodate the entire congregation. The 10-meter by 14-meter building accommodates 250 people, but normally 300 attend services, and some had to stand outside, she said.

Dozens of police guarded the location.

Zaki Oetomo, a Bekasi city official, told Compass that the building could be used rent-free for two years, with an extension possible if the church desired. The government has offered to provide the buses to transport the congregation to and from the site every week.

 

20-Year Wait

The Ciketing church originally met in the Pondok Timur Indah housing development with 10 families in 1990, and therefore has generally been called the HKBP Pondok Timur Indah.

“By 1995 it had grown to 30 families,” Manorangi Siahaan, a church member, told Compass.

In those days the worship services were held in different members’ homes. Manorangi acknowledged that the house church worship did spark some small protests.

Between 1990 and 2010, the church leaders requested building permits three separate times, in 1995, 2000 and 2010. Not once did the local government respond, church leaders said.  

By 2005 the congregation had grown to 150, and church leaders bought a 2,170-square meter lot in Ciketing village, near Bekasi City, to construct a church building. They built a semi-permanent structure, which was later torn down because they lacked a building permit under pressure from an Islamic group claiming to speak for the local citizens. As a result, the congregation went back to worshipping in homes on a rotating basis.

In 2007 the congregation had grown to 300 people. They bought a house in Pondok Timur Indah, in the Mustika Jaya area of Bekasi City, to use for worship. The Bekasi government sealed the house on March 1 under pressure from Islamic groups. On July 2, the government sealed the house a second time because the congregation was continuing to worship there. Then on July 11, the church was forced to move their worship service to a vacant property in Ciketing, which had been readied for a church building. This site was about 3 kilometers from their property in Pondok Timur Indah.

Protests by Islamic groups mounted each Sunday at the Ciketing site, culminating in the attack on Pastor Simanjuntak and elder Hasian Sihombing, who was stabbed in the stomach and heart.

Report from Compass Direct News

Indonesian Church Leaders Wounded in Attack


Elder remains in critical condition after being stabbed in heart, stomach.

JAKARTA, Indonesia, September 15 (CDN) — An elder of a West Java church that Muslim groups attacked last month remains in critical condition after a motorcyclist stabbed him in the heart and stomach on his way to a service on Sunday (Sept. 12), according to Theophilus Bela, president of the Jakarta Christian Communication Forum.

Hasian Sihombing of Batak Christian Protestant Church (Huria Kristen Batak Protestan, or HKBP) sustained a wound to his heart of three centimeters. Also injured in the attack was the Rev. Luspida Simanjuntak, struck with a wooden block on her back, head and face by another motorcyclist when she tried to help Sihombing.

Simanjuntak, who suffered dizziness after the attack, was still weak and receiving hospital treatment along with Sihombing at Mitra Keluarga Hospital Bekasi Timur, Bela stated in an e-mail advisory today.

A member of the HKBP congregation, Ratna Gurning, told Compass that she was with Sihombing as he and other church members walked to the service in the Ciketing area of Bekasi, where the church has been meeting in an open field after officials in June sealed a house they had used for worship in the Pondok Timur housing complex in Jejalen Jaya sub-district, Bekasi.

“About 500 meters from church, they saw some [16] motorcyclists on eight motorcycles were following them,” Gurning said. “Suddenly, our church elder, Hasian, was stabbed in his stomach.”

Sihombing was bleeding profusely, Gurning said, and Pastor Simanjuntak came to help him.

“Rev. Luspida was beaten from behind with a wooden beam, which struck her head, face, and back,” Gurning said.

Gurning said that Pastor Simanjuntak recognized the assailants as having “come to a religious service of HKBP’s community” to protest.  

On Aug. 8 at least 300 members of the Islamic People’s Forum and the Islamic Defenders Front broke through a police barricade and ordered 20 members of the HKBP church meeting in Ciketing to leave, according to Bela. When the church members refused, the protestors assaulted the group with sticks, stones or their bare hands. Some required hospital treatment.

The previous Sunday, Aug. 1, around 300 Muslim protestors and 300 police officers surrounded members of the HKBP as they worshiped in the open field, and one protestor hit Pastor Simanjuntak on the cheek.

The 1,500-strong congregation has been waiting for local officials to respond to a building permit application filed in 2006. When Muslim neighbors in December 2009 objected to the meetings in a housing complex on the grounds that the church had no permit, officials banned church members from meeting there.

With its building permit application delayed, the church ignored the ban, leading officials to seal the building on June 20. Bekasi Mayor Mochtar Mohammad on July 9 reportedly said he would allow the congregation to meet in public areas or at the city hall, and Pastor Simanjuntak moved worship to the proposed building site. Her church has now filed a case against the Bekasi administration.

Member of Parliament Sukur Nababan told Compass that police must apprehend the assailants in Sunday’s attack quickly. He refuted a comment by Jakarta and Bekasi police officials who said that the incident was not religiously motivated.

“This is not purely criminal,” Nababan said. “This incident was premeditated. Freedom of religious is the responsibility of the government.”

Nababan called on the Bekasi officials to grant a permit to the church for its Christian activities in accordance with the constitutional rights of all Indonesians.

The coordinator of HKBP church’s legal team, Saor Siagian, agreed that the police leaders’ views that the attack was not religiously motivated were erroneous.

“The stabbing of Hasian was not purely a criminal act,” Siagian told Compass. “This incident was pre-planned, and it was terrorism against religious rights.”  

On the day of the attack, President Susilo Bambang Yudhoyono reportedly asked Djoko Suyanto, minister of political, legal and security affairs, to work with the head of Indonesian Police Jendral Bambang Hendarso Danuri to arrest the assailants.

The chairman of the Communion of Churches in Indonesia, the Rev. Andreas Yewangoe, asked police to thoroughly investigate, stop allowing violence and guarantee security for the congregation.

“We also ask all Christians to remain steadfast in the face of this calamity and not be provoked,” he said.

A demonstration in front of National Police Headquarters in Jakarta is scheduled for Thursday (Sept. 16) at 2:30 p.m. to urge police to seriously investigate the attack.

Report from Compass Direct News

Vietnam stepping up religious rights abuses, experts say


Government-perpetrated violence against a Catholic village in Vietnam has highlighted a series of human rights abuses in the communist nation, and three U.S. congressmen are calling on the United Nations to intervene, reports Baptist Press.

"A few months ago during a religious funeral procession, Vietnamese authorities and riot police disrupted that sad and solemn occasion, shooting tear gas and rubber bullets into the crowd, beating mourners with batons and electric rods," Rep. Chris Smith, R.-N.J., said at a hearing of the Tom Lantos Human Rights Commission in August.

"More than 100 were injured, dozens were arrested and several remain in custody and have reportedly been severely beaten and tortured. At least two innocent people have been murdered by the Vietnamese police," Smith said.

The Con Dau tragedy, Smith said, "is unfortunately not an isolated incident." Property disputes between the government and the Catholic church continue to lead to harassment, property destruction and violence, Smith said, referring to a report by the U.S. Commission on International Religious Freedom.

"In recent years, the Vietnamese government has stepped up its persecution of Catholic believers, bulldozing churches, dismantling crucifixes and wreaking havoc on peaceful prayer vigils," Smith said.

Persecution is not limited to Catholics, though, as Smith had a list of nearly 300 Montagnard political and religious prisoners. In January, the Vietnamese government sentenced two Montagnard Christians to 9 and 12 years imprisonment for organizing a house church, and others have been arrested in connection with house churches, Smith said.

"The arrests were accompanied by beatings and torture by electroshock devices," the congressman said. "We must not forget the sufferings of Khmer Krom Buddhists, Cao Dai, Hoa Hao, the Unified Buddhist Church of Vietnam and others. The said reality is that the Vietnamese government persecutes any religious group that does not submit to government control."

The violence in the 80-year-old Catholic village of Con Dau in central Vietnam reportedly stemmed from a government directive for residents to abandon the village to make way for the construction of a resort.

International Christian Concern, a Washington-based watchdog group, reported that when Con Dau residents refused to leave, water irrigation was shut off to their rice fields, stopping the main source of income and food.

In May, police attacked the funeral procession, beating more than 60 people, including a pregnant woman who was struck in the stomach until she had a miscarriage, ICC said.

One of the funeral procession leaders later was confronted by police in his home, where they beat him for about four hours and then released him. He died the next day, ICC said. Eight people remain in police custody and are awaiting trial.

"The people of Con Dau are living in desperate fear and confusion," Thang Nguyen, executive director of an organization representing Con Dau victims, told ICC. "Hundreds of residents have been fined, and many have escaped to Thailand."

Smith, along with Rep. Joseph Cao, R.-La., and Frank Wolf, R.-Va., introduced a House resolution in July calling for the United Nations to appoint a special investigator to probe "ongoing and serious human rights violations in Vietnam." In August, the Lantos Commission met in emergency session to address the "brutal murders and systematic treatment of Catholics in Con Dau."

"The Vietnamese government justifies this violence, torture and murder because the villagers of Con Dau had previously been ordered, some through coercion, to leave their village, property, church, century-old cemetery, their religious heritage, and to forgo equitable compensation in order to make way for a new ‘green’ resort," Smith said at the hearing. "Nothing, however, not even governmental orders, grant license for government-sanctioned murder and other human rights abuses."

The U.S. Department of State declined to testify before the Lantos Commission, and the U.S. ambassador to Vietnam characterized the Con Dau incident as a land dispute and refused to get involved.

Logan Maurer, a spokesman for International Christian Concern, told Baptist Press he has publicized about 10 different incidents of persecution in Vietnam during the past few months.

"In some cases, especially in Southeast Asia, religious persecution becomes a gray area. We also work extensively in Burma, where often there are mixed motives for why a particular village is attacked," Maurer said. "Is it because they’re Christian? Well, partially. Is it because they’re an ethnic minority? Partially.

"So I think the same thing happens in Vietnam where you have a whole village that’s Catholic. One hundred percent of it was Catholic," he said of Con Dau.

Maurer explained that local government officials in Vietnam generally align Christianity with the western world and democracy, which is still seen as an enemy in Vietnam on a local level.

"As far as the official government Vietnamese position, that’s different, but local government officials do not take kindly to Christians and never have. We have documented many cases of government officials saying Christianity is the enemy. So here it’s mixed motives as best we can figure out," Maurer said.

"They wanted to build a resort there, and they could have picked a different village but they chose the one on purpose that was Catholic because it represents multiple minorities — minority religion, minority also in terms of people that can’t fight back. If they go seek government help, the government is not going to help them."

A Christian volunteer who has visited Vietnam five times in the past decade told Baptist Press the Con Dau incident illustrates the way the Vietnamese government responds to any kind of dissent.

"In our country, and in modern democracies, there are methods for resolving disputes with the government, taking them to court, trying to work through the mediation process," the volunteer, who did not want to be identified, said. "In Vietnam there is no such thing. It is the government’s will or there will be violence."

Vietnam’s constitution includes a provision for religious liberty, but the volunteer said that only goes as far as the communal will of the people, which is monopolized by the Communist Party.

"So when the Communist Party says you can’t build a church there or you can’t worship this way, those who say, ‘Well, I have religious freedom,’ are essentially trumped by the constitution that says it’s the will of the people, not individual liberty that’s important," the volunteer said.

The government in Vietnam has made efforts during the past 15 years to open up the country to economic development, and with that has come an influx of some western values and a lot of Christians doing work there, the volunteer said.

"I would first caution Christians to still be careful when they’re there working," he said, adding that government officials closely watch Christians who visit from other countries, and books about Jesus cause trouble.

Secondly, the volunteer warned that all news emerging from Vietnam must be tested for accuracy on both sides because both those who are persecuting and those who are sounding the alarm on persecution have their own political goals.

"That being said, I don’t doubt that this happened," the volunteer said regarding Con Dau.

International Christian Concern urges Americans to contact the Vietnamese Embassy in Washington at 202-861-0737, and the Christian volunteer said people can contact the U.S. Commission on International Religious Freedom to encourage changes in Vietnam.

"They can also directly e-mail the ambassador and the consular general in Ho Chi Minh City and encourage them to push for more reform," he said. "And they can contact companies that are having products made in Vietnam and encourage the business leaders to speak out for change in those countries. You go to JC Penney today in the men’s department and pick up almost anything, it’s made in Vietnam. That’s the kind of pressure they could put on them."

Report from the Christian Telegraph

Recent Incidents of Persecution


Karnataka, India, June 30 (CDN) — Hindu extremists on June 23 beat two pastors, seriously injuring them in Chandapura, Anekal. The Evangelical Fellowship of India reported that after pastors Shidu Kurialose and Nithya Vachanam of Bethel Assembly of God Church conducted a Christian meeting in a home, armed extremists attacked them at a tea stall. The extremists accused the pastors of forceful conversion and started beating them with iron rods. Both pastors sustained serious injuries and were admitted in a local hospital. No police complaint was filed.

Tamil Nadu – After opposing a Christian convention on June 17-20, Hindu extremists from the Bajrang Dal on June 22 burned at least seven vehicles belonging to Jesus With Us Pentecostal Church in Mathikere, Hosur. The Global Council of Indian Christians reported that the incident started when the extremists on June 18 called on local authorities to revoke the organizers’ permit and convinced local Hindu shop owners to close their stores. Police arrested five Hindu extremists in connection with anti-Christian violence. Subsequently, under police protection, Christians moved their meeting to another area eight kilometers (five miles) from the original site.

Uttar Pradesh – Hindu extremists from the Rashtriya Swayamsevak Sangh disrupted the prayer meeting of the Jesus Church (Isha Garh) on June 21 in Firozabad and accused the pastor of forceful conversion. A source said the extremists forced their way into the church building and manhandled Pastor Breymond Shastri. The next day the extremists went to newspaper Amar Ujala with the accusation, and the local periodical published a false report that Pastor Shatri was taking part in forceful conversion activities. Area Christian leaders said no forceful conversion was taking place. The extremists warned the pastor he would be harmed if he continued to conduct worship services.

Uttar Pradesh – About eight Hindu extremists on June 20 disrupted the Sunday worship service of Apostolic Christian Assembly Church in Gorakpur. After shouting anti-Christian slogans outside the church building, the extremists stormed in and ranted against Christianity, putting a halt to the meeting as they accused the pastor of forceful conversion. Police arrived and chased the extremists away. At press time the extremists were still issuing threats to the pastor, warning him of harm if he continued conducting worship meetings, the Evangelical Fellowship of India reported. Police have provided protection to the pastor.

Karnataka – Based on a complaint by Hindu extremists against Christians of forceful conversion, Karnataka officials closed down a Christian orphanage on June 16 in Karwar. The Global Council of Indian Christians reported that state officials visited a school at the orphanage and issued a closure order to Spring of Hope Orphanage and Vocational Arts Training Centre, which has 61 tribal students. The home has been functioning for four years in an area long occupied by Siddi tribal Christians. At press time area Christian leaders were taking steps to resolve the conflict.

New Delhi – Suspected Islamic extremists beat an Afghani Christian, seriously injuring him, on June 14 in Malviya Nagar. A Christian source said two Islamic extremists on a motorbike beat Hamid Ullah on his head as he was walking home. The Christian fell on his stomach and the extremists continued to beat him, denigrating his faith, calling him “pagan” and warning him to convert to Islam or face harm. Afghani Christians have been facing warnings, threats and attacks in different areas of New Delhi, the source said, and the advocacy department of the Evangelical Fellowship of India has taken steps to help them.

Karnataka – After Hindu extremists from the Sri Ram Sena (Lord Ram Army) on June 9 attacked Pastor Vasanthe Kathedar of New India Church (NIC), police arrested him for allegedly creating communal disharmony and disrupting the peace – that is, practicing his Christian faith among Hindus – in Okkere, Belgaum. The Global Council of Indian Christians reported that the incident took place at the house of a NIC member where the Christians were meeting. The assault on the pastor lasted for about an hour and, as is customary in India, when police arrived they arrested and charged the victim of the crime.

Orissa – Hindu extremists from the Bajrang Dal on June 9 accused three Christians of forceful conversion and attacked them in Deogarh, Sambalpur. The Evangelical Fellowship of India reported that the incident took place when Hindu Biranchi Kistotta invited Pastor Lamuel Panaik, Pastor N. Philemon and Sudhir Kumar to celebrate the healing of his son, for whom Pastor Panaik had prayed. People of various faiths attended the celebration, including Hindu members of Kistotta’s family. At about 12:30 p.m., seven Hindu extremists accompanied by media personnel suddenly arrived and called Pastor Patnaik to come out of his house. When the pastor refused, the extremists rushed in and forcefully pulled out the three Christians. The extremists accused them of forceful conversion and beat Sudhir Kumar while manhandling the two pastors. Police arrived and questioned those present about whether forceful conversion was taking place, and people came forward to say that the Christians were innocent. Police took the three Christians to the police station as a safety measure, however, and arranged for their return home at 10:30 p.m. No police complaint was filed as the Christians chose to forgive the attackers.

Orissa – Hindu extremists on June 8 brutally attacked a Christian and threatened to kill him in Nuapada. The Global Council of Indian Christians reported that six Hindu extremists armed with daggers and sticks broke into the house of Bhakta Bivar, 19, while his parents were at a prayer meeting. The extremists verbally abused Bivar for his faith and started beating him. They dragged him to a Hindu temple, where they told him to deny Jesus as they continued to beat him, forced on him food offered to idols and threatened to kill him and his parents if they did not convert to Hinduism. The extremists burned four Bibles they had taken from his home and, forcing him to wear a saffron garment symbolic of the Hindu religion, dragged him out to the street, falsely announcing that he had returned to Hinduism. The extremists left after threatening to kill him if he continued to believe in Christ, as they have forbidden the existence of Christianity in the area. Following the filing of a complaint with police, five Hindu extremists were arrested the next day.

Karnataka – Police on June 7 arrested two Christian women after Hindu extremists from the Rashtriya Swayamsevak Sangh disrupted Sunday worship in Bovi Colony, Chickmagalur. According to the Evangelical Fellowship of India, the extremists barged into a church’s worship service and accused Kadaur Devaki and a pastor identified only as Lalathamma of creating communal disharmony and disrupting the peace. Police soon arrived and arrested the two women for “deliberate and malicious acts to outrage religious feelings” and sent them to Hassan Jail.

Tamil Nadu – Hindu extremists from a religious and cultural organization formed to defend the Hindu religion, the Hindu Munnani, demolished a church building under construction on May 28 near Rameshwaram. Catholic sources said the demolition came after a local Hindu Munnani leader identified only as Ramamurthy filed a complaint against construction of the building. Government officials sided with the Hindu extremists, claiming that the one church building, St. Anthony church, already existed and that a new one would create tensions. The structure was demolished, leaving area Christians shocked and shaken.

Chhattisgarh – Hindu extremists from the Bajrang Dal attacked a Christian school program from May 20 to May 29 in Jagbalput, beating a pastor and two teachers on May 27. Beaten were Pastor Rahul Pant and two teachers from Mission India. A source told Compass the extremists accused the Christians of forceful conversion and of using a government school for the Christian program, called Children Development Program (CDP), without permission. They also accused the Christians of distributing books containing conversion activities (biblical narratives). The extremists took the Christians to a police station, where officers questioned them. The Christians said they had permission from the village head, but the assailants said they need permission from the local collector. The parties reached an agreement wherein the Christians were forced to stop the CDP in the government school until they obtain the collector’s permission. The Christians were released without charges.

Karnataka – Opposing a church leader for conducting prayer meetings in his house, Karnataka police on May 26 verbally abused pastor Shiva Kumar and warned him not to conduct further Christian meetings in Mysore. The Global Council of Indian Christians reported that at about 7 p.m. police summoned Pastor Kumar and detained him until 10:30 p.m. Police forcefully obtained a written statement from the pastor, took his photograph and warned him not to conduct any Christian activities in the area.

Andhra Pradesh – Hindu extremists accused Pastor T. Paul of forceful conversion and beat him on May 24 in Narayanpet, Mahabubnagar, seriously injuring him. The All India Christian Council reported the Hindu extremists stopped Pastor Paul as he returned home in a Jeep after conducting a worship meeting. The extremists stopped his vehicle and dragged him out before beating him and accusing him of forceful conversion. The pastor received hospital treatment for internal injuries. Area Christian leaders have asked police to arrest the assailants.

Report from Compass Direct News

Time to Reassess Afghan Policy


There is no doubt in my mind as to the complete separation of the state and the Christian church. The United States government, the Australian government and all other governments involved in the war against terror are not acting as Christian Crusaders, but as responsible modern nations seeking to bring freedom from terror to oppressed peoples around the world. Having said that, in light of such articles as that previous in this Blog, perhaps it is time that the allies in the war on terror, reassess their policy on Afghanistan (and the same would be true of Iraq and Pakistan). Clearly, should the allies withdraw from the country, it seems relatively clear that it would only be a matter of time before the country moves towards an oppressive Islamic regime.

Why should western nations promoting human rights, democracy, freedom from terror and other worthwhile goals, continue to pour resources (human, financial, etc) into a country where overall, its citizens continue to espouse the rhetoric and policies of the enemy?  Already it seems clear that the principles of our freedoms are despised by the vast majority of the Afghan nation. Without a long-term commitment to police the country and keep the policies being promoted by the western allies, there is no point continuing the current mission in Afghanistan (or Iraq, Pakistan, etc). Do we have the capacity and the stomach to pay the price for such a continuing mission, when the undoubted price in human lives, finances and other resources, will continue to mount and become such that our own people will be unable to bear the dearness of the cost?

Egyptian Couple Shot by Muslim Extremists Undaunted in Ministry


Left for dead, Christians offer to drop charges if allowed to construct church building.

CAIRO, Egypt, June 9 (CDN) — Rasha Samir was sure her husband, Ephraim Shehata, was dead.

He was covered with blood, had two bullets inside him and was lying facedown in the dust of a dirt road. Samir was lying on top of him doing her best to shelter him from the onslaught of approaching gunmen.

With arms outstretched, the men surrounded Samir and Shehata and pumped off round after round at the couple. Seconds before, Samir could hear her husband mumbling Bible verses. But one bullet had pierced his neck, and now he wasn’t moving. In a blind terror, Samir tried desperately to stop her panicked breathing and convincingly lie still, hoping the gunmen would go away.

Finally, the gunfire stopped and one of the men spoke. “Let’s go. They’re dead.”

 

‘Break the Hearts’

On the afternoon of Feb. 27, lay pastor Shehata and his wife Samir were ambushed on a desolate street by a group of Islamic gunmen outside the village of Teleda in Upper Egypt.

The attack was meant to “break the hearts of the Christians” in the area, Samir said.

The attackers shot Shehata twice, once in the stomach through the back, and once in the neck. They shot Samir in the arm. Both survived the attack, but Shehata is still in the midst of a difficult recovery. The shooters have since been arrested and are in jail awaiting trial. A trial cannot begin until Shehata has recovered enough to attend court proceedings.

Despite this trauma, being left with debilitating injuries, more than 85,000 Egyptian pounds (US$14,855) in medical bills and possible long-term unemployment, Shehata is willing to drop all criminal charges against his attackers – and avoid what could be a very embarrassing trial for the nation – if the government will stop blocking Shehata from constructing a church building.

Before Shehata was shot, one of the attackers pushed him off his motorcycle and told him he was going to teach him a lesson about “running around” or being an active Christian.

Because of his ministry, the 34-year-old Shehata, a Coptic Orthodox Christian, was arguably the most visible Christian in his community. When he wasn’t working as a lab technician or attending legal classes at a local college, he was going door-to-door among Christians to encourage them in any way he could. He also ran a community center and medical clinic out of a converted two-bedroom apartment. His main goal, he said, was to “help Christians be strong in their faith.”

The center, open now for five years, provided much-needed basic medical services for surrounding residents for free, irrespective of their religion. The center also provided sewing training and a worksite for Christian women so they could gain extra income. Before the center was open in its present location, he ran similar services out of a relative’s apartment.

“We teach them something that can help them with the future, and when they get married they can have some way to work and it will help them get money for their families,” Shehata said.

Additionally, the center was used to teach hygiene and sanitation basics to area residents, a vital service to a community that uses well water that is often polluted or full of diseases. Along with these services, Shehata and his wife ran several development projects, repairing the roofs of shelters for poor people, installing plumbing, toilets and electrical systems. The center also distributed free food to the elderly and the infirm.

The center has been run by donations and nominal fees used to pay the rent for the apartment. Shehata has continued to run the programs as aggressively as he can, but he said that even before the shooting that the center was barely scraping by.

“We have no money to build or improve anything,” he said. “We have a safe, but no money to put in it.”

 

Tense Atmosphere

In the weeks before the shooting, Teleda and the surrounding villages were gripped with fear.

Christians in the community had been receiving death threats by phone after a Muslim man died during an attack on a Christian couple. On Feb. 2, a group of men in nearby Samalout tried to abduct a Coptic woman from a three-wheeled motorcycle her husband was driving. The husband, Zarif Elia, punched one of the attackers in the nose. The Muslim, Basem Abul-Eid, dropped dead on the spot.

Elia was arrested and charged with murder. An autopsy later revealed that the man died of a heart attack, but local Muslims were incensed.

Already in the spotlight for his ministry activities, Shehata heightened his profile when he warned government officials that Christians were going to be attacked, as they had been in Farshout and Nag Hammadi the previous month. He also gave an interview to a human rights activist that was posted on numerous Coptic websites. Because of this, government troops were deployed to the town, and extremists were unable to take revenge on local Christians – but only after almost the
entire Christian community was placed under house arrest.

“They chose me,” Shehata said, “Because they thought I was the one serving everybody, and I was the one who wrote the government telling them that Muslims were going to set fire to the Christian houses because of the death.”

Because of his busy schedule, Shehata and Samir, 27, were only able to spend Fridays and part of every Saturday together in a village in Samalut, where Shehata lives. Every Saturday after seeing Samir, Shehata would drive her back through Teleda to the village where she lives, close to her family. Samalut is a town approximately 105 kilometers (65 miles) south of Cairo.

On the afternoon of Feb. 27, Shehata and his wife were on a motorcycle on a desolate stretch of hard-packed dirt road. Other than a few scattered farming structures, there was nothing near the road but the Nile River on one side, and open fields dotted with palm trees on the other.

Shehata approached a torn-up section of the road and slowed down. A man walked up to the vehicle carrying a big wooden stick and forced him to stop. Shehata asked the man what was wrong, but he only pushed Shehata off the motorcycle and told him, “I’m going to stop you from running around,” Samir recounted.

Shehata asked the man to let Samir go. “Whatever you are going to do, do it to me,” he told the man.

The man didn’t listen and began hitting Shehata on the leg with the stick. As Shehata stumbled, Samir screamed for the man to leave them alone. The man lifted the stick again, clubbed Shehata once more on the leg and knocked him to the ground. As Shehata struggled to get up, the man took out a pistol, leveled it at Shehata’s back and squeezed the trigger.

Samir started praying and screaming Jesus’ name. The man turned toward her, raised the pistol once more, squeezed off another round, and shot Samir in the arm. Samir looked around and saw a few men running toward her, but her heart sank when she realized they had come not to help them but to join the assault.

Samir jumped on top of Shehata, rolled on to her back and started begging her attackers for their lives, but the men, now four in all, kept firing. Bullets were flying everywhere.

“I was scared. I thought I was going to die and that the angels were going to come and get our spirits,” Samir said. “I started praying, ‘Please God, forgive me, I’m a sinner and I am going to die.’”

Samir decided to play dead. She leaned back toward her husband, closed her eyes, went limp and tried to stop breathing. She said she felt that Shehata was dying underneath her.

“I could hear him saying some of the Scriptures, the one about the righteous thief [saying] ‘Remember me when you enter Paradise,’” she said. “Then a bullet went through his neck, and he stopped saying anything.”

Samir has no way of knowing how much time passed, but eventually the firing stopped. After she heard one of the shooters say, “Let’s go, they’re dead,” moments later she opened her eyes and the men were gone. When she lifted her head, she heard her husband moan.

 

Unlikely Survival

When Shehata arrived at the hospital, his doctors didn’t think he would survive. He had lost a tremendous amount of blood, a bullet had split his kidney in two, and the other bullet was lodged in his neck, leaving him partially paralyzed.

His heartbeat was so faint it couldn’t be detected. He was also riddled with a seemingly limitless supply of bullet fragments throughout his body.

Samir, though seriously injured, had fared much better than Shehata. The bullet went into her arm but otherwise left her uninjured. When she was shot, Samir was wearing a maternity coat. She wasn’t pregnant, but the couple had bought the coat in hopes she soon would be. Samir said she thinks the gunman who shot her thought he had hit her body, instead of just her arm.

The church leadership in Samalut was quickly informed about the shooting and summoned the best doctors they could, who quickly traveled to help Shehata and Samir. By chance, the hospital had a large supply of blood matching Shehata’s blood type because of an elective surgical procedure that was cancelled. The bullets were removed, and his kidney was repaired. The doctors however, were forced to leave many of the bullet fragments in Shehata’s body.

As difficult as it was to piece Shehata’s broken body back together, it paled in comparison with the recovery he had to suffer through. He endured multiple surgeries and was near death several times during his 70 days of hospitalization.

Early on, Shehata was struck with a massive infection. Also, because part of his internal tissue was cut off from its blood supply, it literally started to rot inside him. He began to swell and was in agony.

“I was screaming, and they brought the doctors,” Shehata said. The doctors decided to operate immediately.

When a surgeon removed one of the clamps holding Shehata’s abdomen together, the intense pressure popped off most of the other clamps. Surgeons removed some stomach tissue, part of his colon and more than a liter of infectious liquid.

Shehata could not eat normally and lost 35 kilograms (approximately 77 lbs.). He also couldn’t evacuate his bowels for at least 11 days, his wife said.

Despite the doctors’ best efforts, infections continued to rage through Shehata’s body, accompanied by alarming spikes in body temperature.

Eventually, doctors sent him to a hospital in Cairo, where he spent a week under treatment. A doctor there prescribed a different regimen of antibiotics that successfully fought the infection and returned Shehata’s body temperature to normal.

Shehata is recovering at home now, but he still has a host of medical problems. He has to take a massive amount of painkillers and is essentially bedridden. He cannot walk without assistance, is unable to move the fingers on his left hand and cannot eat solid food. In approximately two months he will undergo yet another surgery that, if all goes well, will allow him to use the bathroom normally.

“Even now I can’t walk properly, and I can’t lift my leg more than 10 or 20 centimeters. I need someone to help me just to pull up my underwear,” Shehata said. “I can move my arm, but I can’t move my fingers.”

Samir does not complain about her condition or that of Shehata. Instead, she sees the fact that she and her husband are even alive as a testament to God’s faithfulness. She said she thinks God allowed them to be struck with the bullets that injured them but pushed away the bullets that would have killed them.

“There were lots of bullets being shot, but they didn’t hit us, only three or four,” she said. “Where are the others?”

Even in the brutal process of recovery, Samir found cause for thanks. In the beginning, Shehata couldn’t move his left arm, but now he can. “Thank God and thank Jesus, it was His blessing to us,” Samir said. “We were kind of dead, now we are alive."

Still, Samir admits that sometimes her faith waivers. She is facing the possibility that Shehata might not work for some time, if ever. The couple owes the 85,000 Egyptian pounds (US$14,855) in medical bills, and continuing their ministry at the center and in the surrounding villages will be difficult at best.

“I am scared now, more so than during the shooting,” she said. “Ephraim said do not be afraid, it is supposed to make us stronger.”

So Samir prays for strength for her husband to heal and for patience. In the meantime, she said she looks forward to the day when the struggles from the shooting are over and she can look back and see how God used it to shape them.

“There is a great work the Lord is doing in our lives, we may not know what the reason is now, but maybe some day we will,” Samir said.

 

Government Opposition

For the past 10 years, Shehata has tried to erect a church building, or at a minimum a house, that he could use as a dedicated community center. But local Muslims and Egypt’s State Security Investigations (SSI) agency have blocked him every step of the way. He had, until the shooting happened, all but given up on constructing the church building.

On numerous occasions, Shehata has been stopped from holding group prayer meetings after people complained to the SSI. In one incident, a man paid by a land owner to watch a piece of property near the community center complained to the SSI that Shehata was holding prayer meetings at the facility. The SSI made Shehata sign papers stating he wouldn’t hold prayer meetings at the center.

At one time, Shehata had hoped to build a house to use as a community center on property that had been given to him for that purpose. Residents spread a rumor that he was actually erecting a church building, and police massed at the property to prevent him from doing any construction.

There is no church in the town where Shehata lives or in the surrounding villages. Shehata admits he would like to put up a church building on the donated property but says it is impossible, so he doesn’t even try.

In Egypt constructing or even repairing a church building can only be done after a complex government approval process. In effect, it makes it impossible to build a place for Christian worship. By comparison, the construction of mosques is encouraged through a system of subsidies.

“It is not allowed to build a church in Egypt,” Shehata said. “We can’t build a house. We can’t build a community center. And we can’t build a church.”

Because of this, Shehata and his wife organize transportation from surrounding villages to St. Mark’s Cathedral in Samalut for Friday services and sacraments. Because of the lack of transportation options, the congregants are forced to ride in a dozen open-top cattle cars.

“We take them not in proper cars or micro-buses, but trucks – the same trucks we use to move animals,” he said.

The trip is dangerous. A year ago a man fell out of one of the trucks onto the road and died. Shehata said bluntly that Christians are dying in Egypt because the government won’t allow them to construct church buildings.

“I feel upset about the man who died on the way going to church,” he said.

 

Church-for-Charges Swap

The shooters who attacked Shehata and Samir are in jail awaiting trial. The couple has identified each of the men, but even if they hadn’t, finding them for arrest was not a difficult task. The village the attackers came from erupted in celebration when they heard the pastor and his wife were dead.

Shehata now sees the shooting as a horrible incident that can be turned to the good of the believers he serves. He said he finds it particularly frustrating that numerous mosques have sprouted up in his community and surrounding areas during the 10 years he has been prevented from putting up a church building, or even a house. There are two mosques alone on the street of the man who died while being trucked to church services, he said.

Shehata has decided to forgo justice in pursuit of an opportunity to finally construct a church building. He has approached the SSI through church leaders, saying that if he is allowed to construct a church building, then he will take no part in the criminal prosecution of the shooters.

“I have told the security forces through the priests that I will drop the case if they can let us build the church on the piece of land,” he said.

The proposal isn’t without possibilities. His trial has the potential of being internationally embarrassing. It raises questions about fairness in Egyptian society during an upcoming presidential election that will be watched by the world.

Regardless of what happens, Shehata said all he wants is peace and for the rights of Christians to be respected. He said that in Egypt, Christians have less value than the “birds of the air” mentioned in the Bible. According to Luke 12:6, five sparrows sold for two pennies in ancient times.

“We are not to be killed like birds, slaughtered,” he said. “We are human.”

Report from Compass Direct News