Satna/Bhopal (PTI): Four children suffering from thalassemia have tested HIV positive at Satna District Hospital in Madhya Pradesh allegedly due to contaminated blood transfusions, officials said on Tuesday.

The case is four months old and an investigation is underway into it, an official said.

Officials suspect the use of contaminated needles or blood transfusions for the spread of infection to the children.

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MP Health Minister Rajendra Shukla told reporters in Bhopal that he has ordered a probe into the matter and sought a report.

“It is also being investigated whether the blood transfusion took place in other hospitals also or only in the government hospital,” he said.

The affected children, aged between 12 and 15 years, received blood transfusions from the hospital's blood bank, as per an official.

Devendra Patel, in-charge of the blood bank at Sardar Vallabhbhai Patel District Hospital in Satna, said four children have tested HIV positive and an investigation is underway to determine how they got infected.

"Either an infected needle was used or a blood transfusion occurred. These are the two main reasons I believe. Blood transfusion seems to be the most likely cause," he told PTI Videos.

All these children suffer from thalassemia, and some have received 80 or 100 blood transfusions, he said.

A family member of one of the affected children said that their child was found to be HIV positive during a routine checkup about four months back, and he has been receiving medication, but it had proven to be of no use.

After taking the medication for HIV, the child starts vomiting, feels low and becomes ill, he said.

After the four children were detected with HIV infection, their family members were also tested and the results came out negative, he added.

The Opposition Congress targeted the government over the matter and demanded the resignation of Health Minister Shukla.

Speaking to reporters in Bhopal, Congress MLA and former minister Sachin Yadav claimed such incidents were continuously occurring in Madhya Pradesh.

Earlier, a case of toxic cough syrup came to light in Chhindwara, followed by incidents of rat bites at hospitals in Indore and Satna, and now children have been given HIV-infected blood, he said.

"The health minister is unable to manage the department. He should resign. A murder case should be filed against those responsible for the Satna incident," Yadav said.

Senior Congress leader Sajjan Singh Verma termed it a failure of the government. Chief Minister Mohan Yadav's government has no connection with ground realities, he charged.

"Somewhere rats are roaming in hospitals, somewhere children are being given HIV-infected blood. Instead of preventing HIV, you are spreading it. Mohan Yadav should wake up from his slumber. Children are the nation's heritage and should be taken care of," he added.

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Barcelona (AP): Real Madrid slapped players Federico Valverde and Aurélien Tchouaméni with half-a-million-euro ($588,000) fines on Friday for their altercation during practice.

The massive fines came a day after the midfielders tussled when the team trained. Valverde said in a post on social media on Thursday that no punches were thrown. But Valverde knocked his head on a table and he suffered a small cut that required a brief hospital visit.

On social media, Valverde initially called it a “meaningless fight” with a teammate and said “everything has been blown out of proportion."

His employers, however, considered it a significant enough breach of team discipline to nail both Valverde and Tchouaméni with fines that bite even the bank account of a top soccer player. The half-a-million euro penalties reflect the reputational damage the club was enduring in a chaotic end to a disappointing season.

In a statement, the 15-time European champion said its disciplinary action was concluded after both players expressed to the club “their complete remorse for what happened and apologized to one another.”

Madrid added they also apologized to their teammates, the coaching staff and club supporters, as well as showing their willingness to accept whatever disciplinary action the club deemed “opportune.”

Tchouaméni was back training with Madrid on Friday, two days before they play at Barcelona in a clasico. Madrid has to win otherwise Barcelona will be crowned La Liga champion.

After being notified of the fine, he posted a public apology to the club and its fans on social media.

“What happened this week in training is unacceptable,” Tchouaméni wrote. "I say this while thinking about the example we are expected to set for young people, whether in football or at school.

“Above all, I am sorry for the image we projected of the club.”

Valverde was not at practice due to the head knock.

Both players are set to play in the World Cup next month, with Tchouaméni playing for France and Valverde for Uruguay. 

Chaotic end to a poor season

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The run-in between the players, who for seasons have played side by side in Madrid's midfield, came after they argued this week in previous training sessions. But tempers boiled over on Thursday. Spanish media was rife with reports that the players previously disagreed over the club's decision to let coach Xabi Alonso go after just months on the job.

It was not the only altercation involving Madrid players during training this week. Álvaro Carreras confirmed he was in a “minor” incident with a teammate. Spanish media said he and fellow defender Antonio Rüdiger got into a scuffle.

Álvaro Arbeloa, the coach who was promoted from Madrid's reserve team when Alonso was fired in January, will face tough questions on what went wrong inside the changing room when he gives a press conference on Saturday ahead of the clasico at Camp Nou.

Madrid is facing a second consecutive campaign without a major trophy amid rumors in the Spanish media that club president Florentino Pérez is considering bringing back Jose Mourinho to straighten out his underperforming team.