CIA: Fidel Castro Has Parkinson's
Newsmax | November 16 2005

http://www.newsmax.com/archives/ic/2005/11/16/104430.shtml

The CIA recently concluded that Cuban leader Fidel Castro suffers 
from Parkinson's disease and has warned U.S. policymakers to be ready 
for trouble if the 79-year-old ruler's health erodes over the next few years.

If true, the CIA's assessment of the nonfatal but debilitating 
condition would mean Castro may be entering a period where doctors 
say the symptoms grow more evident, medicines are less effective and 
mental functions start to deteriorate.

Although Castro's brother Raul, head of the armed forces, has been 
anointed as his successor, Cuba analysts fear the possibility of a 
tumultuous period during which an incapacitated Castro refuses to 
give up power but can no longer project his overpowering personality 
to Cuba's 11 million people.

"For Fidel to start shaking in a real and substantial way - in public 
- sends quite a powerful message to people around the world," said 
Frank O. Mora, a professor of national security strategy at The 
National War College.

Rumors that Castro suffers from Parkinson's have been around since 
the mid-1990s. In 1998, he even jokingly challenged journalists to a 
pistol duel at 25 paces to show the steadiness of his hands.
But the Central Intelligence Agency began briefing senior members of 
the State Department and lawmakers about one year ago that its 
doctors had become convinced that Castro was diagnosed with the 
disease around 1998, said two longtime government officials familiar 
with the briefings. Both asked for anonymity because leaking the 
contents of the classified briefing could violate U.S. laws.

"About one year ago, we started seeing some pretty definitive stuff 
that he had Parkinson's," said one of them.

There has been no independent confirmation of Castro's illness, or 
any indication of how the CIA came to its conclusion. The State 
Department and the CIA declined to comment for this story.

But one State Department official said there is already evidence that 
Castro's abilities are fading noticeably. He is increasingly slurring 
his words and going off on tangents in public speeches, although he 
seems to have good days and bad days. Clearly, "he is not the same 
person he was five years ago," added the official.

Others insist that Castro is fine, however. "He enjoys excellent 
health," Ricardo Alarcon, president of Cuba's National Assembly, said 
last month after he was asked about Castro's failure to attend the 
Ibero-American summit in Spain.
Parkinson's symptoms include tremors, stiffness, difficulty with 
balance and muffled speech, although its exact manifestations vary 
according to the victim. High-profile individuals stricken with the 
disease include the late Pope John Paul II, former U.S. Attorney 
General Janet Reno, actor Michael J. Fox and boxer Muhammad Ali.

Dr. Carlos Singer, a Parkinson's expert at the University of Miami, 
said the disease on average cuts short the lifespan of a patient only 
by one or two years. "The issue is not as much how long they can 
live, it is how much do they suffer in the process," he said.

The first five to eight years usually are "manageable with relatively 
small doses of medication," Singer said. After that, symptoms such as 
stooped postures and difficulties with balance become more evident. 
And in the advanced stages, about 40 percent of patients develop what 
one specialist on the disease called "basically an overall decline in 
cognitive functions."

The main drug to ease the symptoms of the disease is levodopa, which 
replenishes the brain with the dopamine chemical that is deficient in 
Parkinson's. Patients can program their activities around the periods 
when the drug is taking effect, known to doctors as "on periods." But 
over time, the drug loses its effectiveness.

"As the disease slowly progresses, the medications have to be taken 
more frequently, at higher doses," said Paul Larson, a neurosurgeon 
and Parkinson's specialist at the University of California, San 
Francisco. "But you eventually reach a point where the patient is 
fluctuating between an `on period' and an `off period' so frequently 
that you can't, in essence, keep up with just medications."

Possible side effects of levodopa are involuntary movements and 
facial grimaces, as well as visual hallucinations. As both 
Parkinson's and the drug can cause blood pressure to drop, patients 
can sometimes faint, Singer said.

Castro has displayed some signs of ill health in recent years, though 
perhaps no worse than other 79-year-olds.

Castro fainted during a speech in a Havana suburb in 2001 and was 
seen almost collapsing during the inauguration of Argentine President 
Nestor Kirchner in 2003. A public tumble last year left him with a 
fractured knee and arm, and former Ecuador President Lucio Gutierrez 
wrote in his recent book that he had to prop up a nodding-off Castro 
several times while sitting next to him at an international event.

Cuba watchers also noted Castro was not shown touring the areas of 
Havana hit by Hurricane Wilma, something out of character for a man 
who has personally managed every crisis in Cuba since taking power in 
early 1959, from the 1961 Bay of Pigs invasion to the Elian Gonzalez 
affair in 2000.

For U.S. policymakers, the report that Castro may suffer from 
Parkinson's has sparked concerns about Cuba's political stability 
down the road.

"It's going to be harder for Fidel to go out and perform, and he's 
been performing the guerrilla theater for 50 years," said Brian 
Latell, a retired CIA analyst on Cuba. Latell is the author of "After 
Fidel," a new book about Castro and his brother Raul, the world's 
longest-serving defense minister and the sole designated successor of Castro.

Damian Fernandez, director of Florida International University's 
Cuban Research Institute, said the larger questions are how Castro's 
subordinates would react to his mental or physical erosion, and how 
that could affect Raul's role as Cuba's No. 2.

"I envision Raul trying to forge key alliances with subordinates in 
the military and among civilians to rule very tightly," he said. "But 
I don't know how this could sustain itself without delivering 
benefits" to the Cuban people.

That's assuming that Raul, 74, does not die before his brother. That 
would leave Fidel without a clear successor and the powerful 
military, now controlled by the younger brother, without a widely 
recognized or respected leader.

The result might be political turmoil as senior government officials 
jockey for power with a Fidel Castro too infirm to make vital decisions.

"The revolution could be hanging by a thread," Latell said.

But that may be some time away. During his recent TV interview with 
Argentine soccer star Diego Maradona, Castro said that rumors of his 
health were so frequent that "the day that I die, nobody is going to 
believe it."


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