Category: Medical/Health Care

GABORONE, BOTSWANA – Botswana President Mokgweetsi Masisi, whose country has one of the world’s highest COVID-19 infection rates per capita, has announced new COVID-19 restrictions, including extension of a nighttime curfew and postponement of the reopening of schools.

In a televised address, Masisi said the country was seeing an exponential increase in COVID-19 cases.

“The disease burden is weighing heavily on us, with infections continuing to increase across the country, and precious lives being lost on a daily basis here at home and across the continent,” Masisi said. “Our nation has attained the highest prevalence ever.”

By Friday, 1,973 people had died of COVID-19, with the death toll rising from about 300 in February.

Masisi announced restrictions Friday meant to blunt the spread of the virus, including a ban on public gatherings.

“Interzonal movement continues to be restricted to essential travel only,” he said. “Reopening of schools [will] be delayed for a further three weeks, except for those students preparing for their final examinations. The ban on sale of alcohol remains. Curfew will now start earlier at 8 p.m. and end at 4 a.m. for the next three weeks, after which there will be a review.”

Masisi said the country would accelerate its vaccination program in the next three weeks. About 5 percent of the population, or 146,299 people, are fully vaccinated.

Vaccine slow to arrive

The president blamed the slow delivery of vaccine for the frustrating pace of inoculation.

“Of course, it saddens me that many have not received a single dose of COVID-19 vaccine, and they are obviously exasperated,” he said. “It may look like government is not trying hard, but I can assure you the opposite is true.”

Education unions welcomed the government’s decision to postpone the reopening of schools.

The unions had urged their members not to return to class until they were vaccinated.

Tabokani Rari, secretary-general of the Botswana Federation of Public Sector Unions, said the government should use the three-week break to vaccinate teachers.

Rari called it “a progressive step” that the president, because of union pressure, had postponed the reopening of schools. “We have not heard anything from the president as to whether during the three weeks that schools will be closed, there will be any plan where teachers will be vaccinated in a fast-tracked manner.”

This week, Botswana took its first delivery from Johnson & Johnson, with 108,000 COVID vaccine doses arriving. The country also received 38,400 doses of Astra Zeneca vaccine on August 8.

Source: Voice of America

KAMPALA – Uganda has resumed mass vaccinations against COVID-19 after running out of doses in June. But even with less vaccine hesitancy, essential workers say the rate of vaccination is too slow.

Two health workers share a table facing a long line of Ugandans waiting to receive a dose of COVID-19 vaccine.

Many are here for their second shots and the officials have to check the system, to see if they qualify for it.

Seventeen-year-old Kawalya Paul is among those standing in line as he waits for his card to be verified and stamped.

Even though he is not on the priority list of those to be vaccinated, Paul explains to VOA why he decided to come.

“Actually, my mom’s boss, succumbed to Covid. Every time he was all very protective. He could not talk to you in case you’re not putting on a mask. So, I was like, if he was able to get it, yet he‘s a doctor and a big man, I was like, what about me, why shouldn’t I? Because I saw the virus was close,” he said.

The priority list for vaccinations includes teachers, security personnel, health workers, the elderly – who are defined as people over 50 years old – and those between 18 and 50 with underlying health conditions.

At the end of July, Ugandan authorities received 1.72 million doses of vaccine, and are hoping to get another 11 million in September.

The pace of vaccination remains slow. So far only about 1.1 million Ugandans have been inoculated.

But, officials are hopeful that Ugandans are now eager to get the vaccine and have opened up vaccination centers at Kampala’s Capital City grounds and the Namboole National stadium.

Pius Okethwengu, the Namboole hospital administrator, said they are seeing a large turnout of people at the stadium. He predicts the goal of inoculating 10,000 people this week will be surpassed.

“We are having this activity, starting today, in the next five days, to be able to have attended to all these clients that we are looking for. But, with the response that we are seeing, we are estimating that actually we should be able to even exceed that. And the beauty is, the vaccines are there and, we should be able to give the services to the people,” he said.

The vaccination drive is raising hope that authorities will lift the restrictions on schools, public transportation and religious institutions imposed last month amid a new wave of coronavirus cases.

The minister of education said on July 30 that schools could reopen if all children between the ages of 12 and 18 are inoculated.

Othieno Leonard, a secondary school teacher, does not expect to see educational facilities reopen any time soon.

“I don’t think so. I really feel, given the pace at which they are vaccinating, it is going to take us way longer to put us in a situation where we can call it normal. So, for now, I don’t have hope that they can open soon,” said Leonard.

The Ministry of Health says about seven million children would need to be vaccinated before classes can resume.

Source: Voice of America

GENEVA – The World Health Organization says shipments of coronavirus vaccine to Africa are picking up while the continent continues to grapple with an upsurge in COVID-19 infections.
After a slight dip in cases last week, the third wave of COVID-19 has come roaring back, with infections rising by nearly 19 percent to more than 278,000 new cases this week.
Also, this week, the World Health Organization says COVID-19 deaths have reached a record peak of more than 6,400, bringing the total number of coronavirus fatalities on the continent to more than 172,000.
Amid the bad news is the positive prospect of scaled-up vaccine shipments to Africa. Phionah Atuhebwe is New Vaccines Introduction Officer at the WHO Regional Office for Africa. She says there has been a 12-fold increase in vaccine deliveries in the last two weeks of July compared with the first half of the month, bringing the total number of doses shipped to Africa so far to 91 million.
“We need to be clear though: In a continent of over 1.3 billion people, this is just a tiny drop in a very large ocean, and in the face of a surging third wave and more contagious variants, vaccine shortages leave Africa dangerously exposed,” said Atuhebwe. “We have a very long way to go. With less than two percent of Africans fully vaccinated, we cannot get vaccines fast enough into the arms of the people.”
Atuhebwe says the vaccines arriving from the United States and European Union are expected to continue and shipments from Britain will start soon. She says around 110 million doses are expected to be delivered to African countries through the COVAX facility and the African Union by the end of September.
“Beyond September, as commitments by COVAX and the African Union and bilateral deals come through, we hope to meet the target of vaccinating 30 percent of Africans by the end of this year,” said Atuhebwe. “But we also need up to 250 million more doses to complement the COVAX and African Union doses to meet this goal.”
Atuhebwe says it would be a dream to have vaccines manufactured on the continent. She says several countries, notably Senegal, South Africa, Morocco, and Egypt have the capacity to make it, but not from scratch.
For that to become a reality she says the technology for producing COVID-19 vaccine must be transferred to African countries. She says a waiver also is needed on trade-related aspects of intellectual property rights, known as TRIPS. That would temporarily allow African countries to manufacture vaccines for underserved populations.

Source: Voice of America

GENEVA – The World Health Organization says more than 700 health care workers and patients were killed, more than 2,000 injured, and hundreds of health facilities destroyed in countries of conflict between 2018 and 2020.
A three-year analysis was carried out in 17 conflict-ridden countries and territories, including Ethiopia, Yemen, Syria, Mozambique, the occupied Palestinian territories, and Myanmar.
New data show that health care continues to be under attack. So far this year, the World Health Organization has recorded 588 incidents in 14 countries with emergencies, causing 114 deaths and 278 injuries of health care workers and patients.
The WHO’s director of health emergencies interventions, Altaf Musani, says the impact of those health care attacks goes well beyond claiming lives. He says the ramifications are significant and alarming, especially considering the ongoing COVID-19 response.

“Their impact reverberates on health care workers’ mental health and willingness to report to work, equally, on communities’ willingness to seek health care, and also drastically reduces resources for responding to a health crisis, amongst others,” Musani said.
Musani says the ripple effect of a single incident is huge and has a long-lasting impact on the system at large. When health facilities are destroyed, he says, they need to be rebuilt.
When health care workers are killed or wounded, he says a vital work force must be reinforced. Building back those vital systems, he says, requires years of costly investment, years in which people in need are underserved.
“During the pandemic, more than ever, health care workers must be protected, must be respected,” Musani said. “Hospitals and health care facilities, including the transportation of ambulances should not be used for military purposes. Essential conditions for the continued delivery of vital health care must be given the necessary space.”
Musani notes any reduction in capacity will interrupt services and deprive vulnerable communities of urgent care.
The WHO is calling on all parties in conflicts to ensure safe working spaces for the delivery of health care services. It says people caught in emergency situations must be able to safely access care, free from violence, threat, or fear.

Source: Voice of America

CAPE TOWN, SOUTH AFRICA – South Africa’s Cape Town is struggling to cope with more than 38,000 active cases of COVID-19, making it the epicenter of the pandemic in Africa’s worst-hit country.
The provincial chairman of the Democratic Nursing Organization of South AfrIca, Elenor Roberts, said medical staff members were under immense pressure.
“As of now, the situation in our rural areas, it is dire,” because there are so many COVID patients who need attention and “so few staff to look after these patients,” Roberts said.
She said there were about 13,000 nurses in Western Cape province, far too few to handle the workload.
“Our members complained that they cannot take it,” Roberts said. “It is too much for them. There is not enough staff and there’s also not enough beds.” The result, she said, is that “they have to struggle to put the COVID patients away from the other patients.”
She said she thought the vaccination drive underway in the country was helping to some extent.
“I think the vaccinations in this case did help,” she said, but progress remained slow in Western Cape. As of last Thursday, she said, it was her understanding that less than 70 percent of nurses had been vaccinated, so “we are still are at a great risk.”
The province’s premier, Alan Winde, is due to give an update on the situation at a digital news briefing Thursday.

Source: Voice of America

WASHINGTON – The Biden administration is in the process of delivering 25 million vaccine doses to African countries in a massive effort to help African nations beat the COVID-19 pandemic. VOA’s Hayde Adams, the host of “Straight Talk Africa,” spoke with Akunna Cook, the U.S. deputy assistant Secretary of State for African Affairs, about how the effort is going. The interview was edited for brevity and clarity.
VOA: These are difficult times all over the world In Africa, only about 1% of the continent’s population is fully vaccinated. Please tell us more about what the United States is doing to get much needed vaccines to African countries and where those doses are going first.
COOK: It’s a pleasure to be with you, particularly talking about this topic of ending the COVID-19 pandemic, which is a top priority of the Biden-Harris administration. The president has been very clear that we have to approach, vaccine, vaccine contributions around the world with the same urgency that we have here in the United States, and so we are working tirelessly to get out this first tranche of 25 million doses to Africa. We have already, in the past two weeks or so, donated the first five million doses into 16 African countries. Burkina Faso and Djibouti were among the first.
But there’s many more coming… We will be delivering the largest sum of doses to any country, to South Africa at, 5.6 million doses, and then to Nigeria at just over four million doses coming up.
And so this is just the beginning. This are the initial tranche. We remain the largest contributor to (global vaccine distribution scheme) COVAX and are committed to getting vaccines out as quickly as possible because we know that we cannot end this pandemic anywhere until we’ve ended it everywhere.
VOA: The World Health Organization says Africa needs about 200 million doses to vaccinate 10% of its population by September this year. Is the United States prepared to do more? Is this a once off donation?
COOK: So our vaccine contributions are, what, multitiered and multilayered, right? So these initial this initial tranche of 25 million, it’s the first step. But we are also doing other things including supporting vaccine manufacturing on the continent. And so we have invested in vaccine manufacturing in South Africa and in Senegal to ensure that Africa can then produce its own vaccines moving forward. We are also providing economic assistance to countries that have been impacted by COVID-19 with over $541 million in assistance to respond to the economic aftereffects of the pandemic. And so this is just the beginning. This is an initial tranche of our assistance. And I’m sure that we will see more rolling out over, over the next couple of months.
VOA: Something we are seeing in the United States and something that is very prevalent across the African continent is misinformation around vaccines. There is a lack of trust as people feel that in the past, Africans, have been used as guinea pigs for scientific experiments, and of course there was an element of that here in the United States as well. What is your message to people in Africa about taking a vaccine coming from the West? How can they feel safe to trust the vaccines?
COOK: Well, you know what I will say is we absolutely acknowledge that there have been past reasons for there to be distrust here in the United States and around the world. But it is absolutely the case that these vaccines are safe and they are effective. And we are working to disseminate best practices, including working with trusted messengers to get the word out that these vaccines are safe and they are effective, and that is absolutely critical that populations around the world including here in the United States, avail themselves of these vaccines so that we can end this pandemic once and for all.

Source: Voice of America

NAIROBI – The Africa Centers for Disease Control and Prevention (CDC) says the continent’s death toll from COVID-19 has jumped 17 percent in the past month. In a media briefing Thursday, the Africa CDC said the infection rate has also increased and warned some countries are testing less often for the virus than needed.

In his weekly online press briefing from Ethiopia, the head of the Africa Centers for Disease Control and Prevention, John Nkengosong, gave a grim picture of the continent’s COVID-19 situation during the month of July.

“There has been an average increase of four percent of new cases over that time period … in terms of new deaths in the last four weeks, we’ve recorded an average of 17 percent new deaths [in the continent’s most populous countries] over same period … in terms of testing as a continent, as of today we have conducted about 58 million COVID tests and last week alone the continent conducted about 1.3 million tests but that represents a decrease of 19 percent over the previous week,” Nkengosong said. “Overall positivity rate stands at 11.2 percent.”

Overall, the continent recorded 239,000 coronavirus cases last week and 6,700 deaths, an increase of 700 deaths over the previous week.

The Africa CDC blames the increased deaths on virus-spreading events like the recent looting in South Africa and the celebration of Eid al-Hajj, the end of the Muslim pilgrimage in Mecca.

It also blames the delta variant, the most contagious form of coronavirus, which has spread across the globe in recent weeks.

The continent’s public health agency was happy that some African countries like South Africa, Nigeria, and Kenya have managed to limit the virus while allowing economic activities to go on.

Africa has so far received about 80 million vaccine doses from COVAX, the UN-backed global initiative to distribute vaccines to low- and middle-income countries.

The senior director for Africa at the U.S. National Security Council, Dana Banks, said Wednesday her country has started to ship some ten million vaccines to Africa.

“We are happy to announce that we will be sending over 5 million doses to South Africa … of Pfizer vaccines as well as 4 million doses of Moderna vaccine to Nigeria…. So we’re very excited about that and we hope that these will go a long way in helping to provide safety and health security for the people of Nigeria and South Africa, which will then enable them to get back to their regular activities, their economic activities, and help them to build back better,” Banks said.

The World Health Organization has said at least 700 million vaccines will be sent to Africa by the end of the year, enough to vaccinate about 30 percent of the continent’s 1.3 billion people.

However, Matshidiso Moeti, WHO regional director, said African governments and health officials need to do more to encourage people to get the vaccines.

“With the expected influx of vaccines, it’s crucial that countries scale up all the aspects of vaccine rollout to reach as many people as possible,” Moeti said. “This entails mobilizing adequate resources including finances for the vaccination activities, for the logistics and for the personnel as well as addressing any concerns by communities including those fueled by misinformation to increase vaccine confidence and demand.”

So far, less than 2 percent of Africans have been fully vaccinated against COVID-19. The continent has officially recorded 6.5 million cases of the disease, although the real number is believed to be significantly higher.

Source: Voice of America

GENEVA – The World Health Organization is urging African countries to ramp up preparations for COVID-19 vaccination rollouts in anticipation of the imminent arrival of millions of vaccine doses on the continent. WHO reports more than 6.2 million people have been infected with COVID-19 and more than 159,000 have died.

New cases of COVID-19 in Africa have fallen slightly following eight weeks of a fast-moving surge. The decline is attributed to a sharp drop in cases in South Africa. However, the World Health Organization reports the situation could change quickly as violent protests and mass gatherings in the country could trigger another rise in cases.

WHO regional director for Africa Matshidiso Moeti says Africa’s third wave is not over. She notes 21 countries, three more than last week, are experiencing a resurgence. She says the highly contagious delta variant has now been detected in 26 countries and 13 of them need more oxygen due to a surge in cases.

She says Africa continues to lag in COVID-19 vaccines, with just 20 million Africans or 1.5 percent of the continent’s population fully vaccinated. But she says Africa’s supply crunch is starting to ease.

She says the first delivery of doses donated by the United States through the COVAX Facility is arriving in Africa this week and altogether nearly 60 million doses from other sources are expected in the coming weeks.

“African countries must go all out and speed up their vaccine rollouts by five to six times if they are to get all these doses into arms and fully vaccinate the most vulnerable 10 percent of their people by the end of September,” Moeti said. “Around 3.5 to four million doses are administered each week on the continent, but this needs to rise to 21 million doses each week at the very least to meet this goal.”

Moeti says more than half a billion doses are expected through COVAX alone this year. This massive influx, she says, means countries must up their game.

“We need to address the issue of vaccine hesitancy,” Moeti said. “So, this communication—targeting people, targeting the messages that we are tracking and the misinformation or the fears and misconceptions is absolutely vital now because the time to mobilize people to be ready to be vaccinated is not when the vaccines are landing. It is now in this narrow period of a window that we have to do all of this.”

Regional director Moeti says countries must scale up their operations. She says countries need sufficient vaccine sites, storage facilities, adequate transport, plans for distribution and, of course, health care workers to carry out this life-saving activity.

Source: Voice of America