Tag Archives: Coronavirus

U.S. health secretary mandates COVID-19 shots for health care staff

(Reuters) – The U.S. Department of Health and Human Services (HHS) has mandated its health care workforce to get vaccinated against COVID-19, Health Secretary Xavier Becerra announced on Thursday.

Staff at the Indian Health Service (IHS), focused on American Indians, and National Institutes of Health (NIH) will be impacted by this decision, according to an HHS statement.

Those affected include over 25,000 employees, contractors, trainees, and volunteers whose duties put them in contact or potential contact with patients at an HHS medical or clinical research facility.

“Our number one goal is the health and safety of the American public, including our federal workforce,” Becerra said.

U.S. Public Health Service Commissioned Corps will also be immediately required to get vaccinated, the statement said.

HHS is the latest federal department to make COVID-19 vaccination compulsory.

Earlier this week, the Pentagon said it will seek U.S. President Joe Biden’s approval by mid-September to require 1.3 million military members to get vaccinated against COVID-19.

The U.S. Department of Veterans Affairs also announced a similar move last month.

Meanwhile, the Biden administration is examining what authority businesses have to mandate vaccines as it considers what more steps can be done to halt the spread of COVID-19.

United Airlines Inc Chief Executive Scott Kirby said he believes more U.S. companies and organizations will begin requiring COVID-19 vaccinations, after a meeting with Biden on Wednesday.

(Reporting by Aishwarya Nair in Bengaluru; Editing by Raju Gopalakrishnan)

Coronavirus surge pushes Cuba’s healthcare system to brink

By Sarah Marsh

HAVANA (Reuters) – Cuba is bringing back hundreds of doctors working abroad and converting hotels into isolation centers and hospitals in order to battle a COVID-19 crisis that is overwhelming healthcare and mortuary services in parts of the Caribbean island.

The country, which managed to contain infections for most of last year, is now facing one of the worst outbreaks worldwide, fueled by the spread of the more-infectious Delta variant, even as it races to vaccinate its population.

Cuba’s rolling seven-day average of confirmed COVID-19 cases has surged eightfold within two months to 5,639 per million inhabitants, ten times the world average.

One in five tests are positive, four times the benchmark 5% positivity rate cited by the World Health Organization. The seven-day average for confirmed COVID-19 deaths is around 52 per million inhabitants, six times the world average, although the real number could be much higher accounting for potentially undiagnosed cases.

The COVID-19 surge has come amid Cuba’s worst economic crisis in decades that had already resulted in medicine shortages and long queues for scarce goods that made implementing lockdowns tricky.

The predicament has come as a shock to some in the Communist-run country where the right to public healthcare is considered sacrosanct.

“I witnessed queues of more than 20 hours, people dying in the corridors (of the polyclinic),” wrote Ana Iris Diaz, a professor at the university of the central Cuban city of Santa Clara and self-professed “revolutionary”, in a Facebook post that went viral this week.

“I saw an elderly woman die after several hours of waiting and four days without an antigen test or PCR. Simply put, I saw what I would have hoped to never see: the collapse of our health system.”

Cuba’s Communist government did not reply to a request for comment. It has denounced the United States for tightening sanctions, saying this has also slowed down its vaccine rollout due to the difficulty of acquiring inputs. Critics blame more Cuba’s inefficient state-run economy.

“We are at the limit of our capacity for infrastructure, resources, medicine and oxygen,” President Miguel Diaz-Canel told a government meeting on COVID-19 on Monday.

INCINERATOR BREAKS UNDER STRAIN

Cuba was a COVID-19 success story last year, managing to contain the outbreak, dispatching doctors all over the globe to help and even developing its own vaccines, which it started applying in recent months.

Deaths in Cuba since the start of the pandemic are still only a half of the global average, according to official data.

The death toll is rising fast though.

In the eastern province of Guantanamo, artist Daniel Ross said a 30-year-old friend of his who caught COVID-19 had recently died due to a lack of medicines and oxygen.

“Here, we fight COVID-19 with Azitromicina, which costs 16 pesos usually in the pharmacy, but they haven’t had any for months now,” he said, adding that the cost had surged to 3600 pesos, equivalent to $150 on the black market.

Also infected and struggling to breathe, he said he was doing inhalations with yagruma leaves but sometimes could not even heat water because of the power outages that have become more frequent lately.

Ihosvany Fernandez, director of communal services in the province of Guantanamo, said on local television that total deaths there, from any cause, had surged at the start of the month to more than 60 per day from around 12 on average usually.

Official data show no more than 10 COVID-19 death daily in Guantanamo for those days suggesting underreporting in deaths from the respiratory disease.

One of the province’s incinerators had broken down due to overuse, said Fernandez, so they were installing another and using a variety of state vehicles to transport the corpses given insufficient hearses.

So far, a quarter of Cuba’s 11.2 million inhabitants have been inoculated with its two most advanced vaccines that officials say have proven more than 90% effective in phase three trials.

In one bright spot, the case-fatality rate in Havana, where nearly two thirds of the population has now been fully inoculated, was just 0.69 % compared to 0.93% for the rest of the country in the first week of August, according to official data, suggesting the shots are working.

(Reporting by Sarah Marsh in Havana; Additional Reporting by Nelson Acosta in Havana; Editing by Alistair Bell)

BioNTech says vaccine repeats beat devising new one for now

By Ludwig Burger

FRANKFURT (Reuters) -BioNTech said that repeat shots of its COVID-19 vaccine, of which more than a billion doses have now been supplied worldwide, was a better strategy than tailoring the product it developed with Pfizer to new variants.

The German biotech firm said that offering a third dose of its established two-shot vaccine remained the best response to concerns over waning immune protection in the face of the highly contagious Delta variant, as worse strains may emerge.

BioNTech said the more than one billion supply tally as per July 21 was up from 700 million-plus doses it announced in June.

This compares with AstraZeneca saying last month that it and manufacturing partner Serum Institute of India had supplied a billion doses of its vaccine globally.

Based on delivery contracts signed for more than 2.2 billion doses so far, BioNTech said in a statement detailing its second quarter earnings that it expects to accrue 15.9 billion euros ($18.7 billion) in revenue from the vaccine this year, up from a May forecast of 12.4 billion euros.

That includes sales, milestone payments and a share of gross profit in its partners’ territories, BioNTech added.

Pfizer late last month raised its forecast for its share of 2021 vaccine sales to $33.5 billion and said at the time it believes people will need a third dose of the shot.

Pfizer and BioNTech’s decision in early July to seek authorization for a third dose drew criticism from U.S. health regulators, who said there was not yet enough data to show booster shots are needed.

U.S. health agencies have since discussed additional doses for people with compromised immune systems, while Germany and France said they would roll out a third dose for the most vulnerable from September.

That jars with a call by the World Health Organization to use doses instead to jump-start vaccination campaigns in poorer nations which have so far been left behind.

BioNTech Chief Executive Ugur Sahin said that although work was ongoing to adjust the vaccine to variants it was not clear whether yet another version of the pathogen would supplant the now prevalent Delta variant.

“Making a decision at the moment might turn out to be wrong in three or six months if another variant is dominating,” Sahin said during an analyst call.

Chief Medical Officer Oezlem Tuereci said lab experiments had shown that a third shot of the established product generated neutralizing antibodies against a range of strains and that the antibody boost was above the one following a second dose.

Still, the company reiterated plans to start testing a vaccine adjusted to the Delta variant on humans this month, part of a “comprehensive strategy to address variants.”

($1 = 0.8509 euros)

(Reporting by Ludwig BurgerEditing by Chizu Nomiyama and Alexander Smith)

Global COVID-19 cases surpass 200 million as Delta variant spreads

By Roshan Abraham and Kavya B

(Reuters) – Coronavirus cases worldwide surpassed 200 million on Wednesday, according to a Reuters tally, as the Delta variant threatens areas with low vaccination rates.

Cases are rising in at least 83 out of 240 countries, according to the tally, and straining healthcare systems.

“While we desperately want to be done with this pandemic, COVID-19 is clearly not done with us. And so our battle must last a little longer,” Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention, said this week.

At least 2.6% of the world’s population has been infected, with the true figure likely higher due to limited testing in many places. If the number of infected people were a country, it would be eighth most populous in the world, behind Nigeria, according to a Reuters analysis.

It took over a year for COVID-19 cases to hit 100 million mark, while the next 100 million were reported in just over six months, according to the analysis. The pandemic has left close to 4.4 million people dead.

The countries reporting the most cases on a seven-day average – the United States, Brazil, Indonesia, India and Iran – represent about 38% of all global cases reported each day.

The United States accounts for one in every seven infections reported worldwide. U.S. states with low vaccination rates such as Florida and Louisiana are seeing record numbers of COVID patients hospitalized, despite the nation giving 70% of adults at least one vaccine shot. The head of one Louisiana hospital warned of the “darkest days” yet.

Unvaccinated people represent nearly 97% of severe cases, according to the White House COVID-19 Response Team.

RISING CASES IN ASIA

Countries in Southeast Asia are also reporting rising cases. With just 8% of the world’s population, the region is reporting almost 15% of all global cases each day, according to a Reuters analysis.

Indonesia, which faced an exponential surge in COVID-19 cases in July, is reporting the most deaths on average and surpassed 100,000 total deaths on Wednesday. The country accounts for one in every five deaths reported worldwide each day. The Southeast Asian nation aims to gradually reopen its economy in September, Health Minister Budi Gunadi Sadikin said on Monday, citing that the wave of infections had passed its peak, with daily confirmed cases on the decline.

After suffering its worst outbreak in April-May, India is once again seeing a rising trend of cases. Last Friday, the country reported 44,230 new COVID-19 cases, the most in three weeks, fueling worries of a third wave of infections that has forced one state to lockdown.

China’s Wuhan city, where the virus first emerged in late 2019, will test its 12 million residents for the coronavirus after confirming its first domestic cases of the Delta variant. The city had reported no local cases since mid-May last year.

The Delta variant is upending all assumptions about the virus, with disease experts scrambling to find whether the latest version of coronavirus is making people, especially unvaccinated individuals, sicker than before.

The CDC said in an internal document that the variant, first detected in India, is as contagious as chickenpox and far more contagious than the common cold or flu.

A key issue, said Dr. Gregory Poland, a vaccine scientist at the Mayo Clinic, is that the current vaccines block disease, but they do not block infection by keeping the virus from replicating in the nose.

As a result, he said, “the vaccines we have currently are not going to be the be-all, end-all,” he said. “We are now in a scenario of our own making, where this is going to be years to decades to now defeat. … And we’re going to chase our tail with variants until we get a type of vaccine that offers infection and disease-blocking capabilities.”

Many countries are still facing shortages of testing kits, medicines and vaccines, as the Delta variant strains healthcare services in poorer nations. Wealthier nations are being urged to donate more vaccine to curb the outbreak globally.

The World Health Organization (WHO) is seeking $11.5 billion to fight the Delta outbreak, a draft report seen by Reuters shows, amid worries wealthy nations are partly bypassing its COVID-19 programs.

(Reporting by Roshan Abraham and Kavya B in Bengaluru; Additional reporting by Julie Steenhuysen in Chicago; Editing by Lisa Shumaker)

China’s Wuhan to test all 12 million residents as Delta variant spreads

By Ryan Woo

BEIJING (Reuters) – China’s Wuhan city will test its 12 million residents for the coronavirus after confirming its first domestic cases of the highly transmissible Delta variant.

Wuhan, where the virus first emerged in late 2019, had reported no local coronavirus cases since mid-May last year but on Monday authorities confirmed three cases of the Delta variant. The strain has been found in a handful of provinces and big cities including Beijing over the past two weeks.

“To ensure that everyone in the city is safe, city-wide nucleic acid testing will be quickly launched for all people to fully screen out positive results and asymptomatic infections,” Wuhan official Li Qiang told a news briefing.

Parts of an industrial and technology zone were sealed off, a measure rarely seen in the city since a lockdown last year.

The new cases in Wuhan, along with infections in the nearby cities of Jingzhou and Huanggang since Saturday, were linked to cases in the city of Huaian in Jiangsu province, said Li Yang, vice director of the Hubei province disease control center.

The outbreak in Jiangsu is believed to have begun in the provincial capital of Nanjing in late July, with the Delta variant mostly likely introduced on a flight from Russia, officials have said.

China brought the epidemic under control last year and fought just a few localized outbreaks after that.

Emergency response levels were lowered and people outside areas hit by virus could go about their lives largely as normal, which may have contributed to the latest outbreak.

A Nanjing official said on Monday that even after the first cases were reported there, some shops did not rigorously check customers’ digital health credentials and some did not wear masks properly.

Jiangsu officials said the root cause of the Nanjing outbreak was “laxity of the mind”.

The tally of local cases in China since July 20, when the first Nanjing infections were found, stood at 414 as of Monday.

Numerous cities in southern China and a few in the north including Beijing have reported infections, and authorities have advised against non-essential travel, conducted mass testing, and sealed off some higher-risk neighborhoods.

‘LOOPHOLES’

The first of the latest flurry cases in Nanjing were cleaners at the Nanjing Lukou International Airport who were infected, possibly due to poor sanitization and protection after disinfecting a plane from Russia, a city official said last week.

China’s aviation regulator has demanded more frequent testing and insisted on the use of protective gear.

Police in the nearby Yangzhou said the outbreak in that city’s center got worse after a 64-year-old woman who left her locked-down Nanjing neighborhood to visit family in Yangzhou, where she entered restaurants and shops.

Airports in Nanjing and Yangzhou have suspended domestic flights.

In the central city of Zhengzhou, most of the 13 local cases reported since July 31 were linked to a hospital that treats patients arriving from outside China, with the strain in the first two infections bearing a similarity to that in cases recently arriving from Myanmar, an official said.

“This outbreak mainly occurred inside the hospital, involving people including cleaning staffers and medical workers,” said Wang Songqiang, director of Zhengzhou’s disease control center.

“This outbreak has … exposed the loopholes at a few hospitals in their in-hospital infection control,” Wang said.

The city of Zhangjiajie in the southern province of Hunan was hit by infections after carriers from outside the province attended a theatre performance where members of the audience sat next to each other, instead of at socially distanced intervals.

Zhangjiajie said on Tuesday that residents and tourists should not leave the city, effectively imposing a lockdown.

(Reporting by Ryan Woo, Liangping Gao and Roxanne Liu; Additional reporting by Beijing Newsroom; Editing by Kim Coghill)

Florida COVID hospitalizations surge, New York urges business push on vaccines

(Reuters) – New York’s governor on Monday urged businesses to turn away unvaccinated customers while Florida is grappling with a surge in hospitalized COVID patients, both sparked by rising cases of the Delta variant that could result in new restrictions on daily life.

Florida, whose governor has resisted mask or vaccine mandates, has one of the worst outbreaks in the nation and about one-quarter of the country’s hospitalized COVID patients, according to data from the U.S. Department of Health and Human Services.

The head of Florida’s hospital association said the current surge sent COVID hospitalizations skyrocketing to 10,000 from 2,000 in less than 30 days, although deaths have remained well below the previous peak.

“It is a much younger population that is being hospitalized today,” Mary Mayhew told MSNBC on Monday. At one Jacksonville hospital, the average age is 42, she said. “We have 25-year-olds in the hospital in intensive care on ventilators,” she told the cable network. “We’ve got to convince 25-year-olds, 30-year-olds, that this is now life-threatening for them.”

New York Governor Andrew Cuomo also sounded the alarm, urging but not mandating bars, restaurants and other private businesses to require all customers be vaccinated before entering. The Democratic governor also said that vaccines could become mandatory for nursing home workers, teachers and healthcare workers if case numbers do not improve.

“Private businesses – I am asking them and suggesting to them to go to vaccine-only admission,” Cuomo told a briefing Monday. “I believe it’s in your best business interest. If I go to a bar and I want to have a drink and I want to talk to the person next to me, I want to know that that person is vaccinated.”

Cuomo also announced that all employees of the Metropolitan Transportation Authority, which runs the trains and subways, and all the workers from his state for the Port Authority of New York and New Jersey, which oversees the region’s bridges, airports, and tunnels, would need to be vaccinated by Labor Day on Sept. 6 or submit to weekly testing.

“If you are unvaccinated the Delta variant should be a major concern to you and you should be worried about it,” Cuomo said.

The push by Cuomo marks the latest attempt by government leaders to spur reluctant Americans to get vaccinated as the Delta variant of the coronavirus surges nationwide, infecting mostly unvaccinated people.

Cuomo’s announcement comes on the heels of a decision by President Joe Biden to require millions of federal workers and contractors to show proof of vaccination or be subject to weekly or twice-weekly COVID-19 tests.

Even as cases have exploded, Governor Ron DeSantis has resisted mask mandates. Earlier this year, he and the Republican-controlled state legislature limited local officials’ ability to impose COVID-19 restrictions, and on Friday he issued an executive order barring schools from requiring face coverings when classes resume this month.

That order came days after the Broward County school board voted to require masks for students and staff. The superintendent of Miami-Dade schools had also said the district would reconsider whether to require masks in light of the surge.

Some local governments have also sought to impose public health measures despite DeSantis’ opposition. The village of Key Biscayne began requiring masks on Monday for all employees as well as any visitors to government buildings.

Both Miami-Dade and Palm Beach counties last week said that all adults would be required to wear masks when inside county facilities. Orange County, home to Disney World, has ordered all employees to get vaccinated, with an Aug. 31 deadline for the first dose.

(Reporting by Joseph Ax in Princeton, New Jersey and Nathan Layne in Wilton, Connecticut; Editing by Lisa Shumaker)

Delta spreads ‘like wildfire’ as doctors study whether it makes patients sicker

By Deena Beasley

LOS ANGELES (Reuters) – With a new wave of COVID-19 infections fueled by the Delta variant striking countries worldwide, disease experts are scrambling to learn whether the latest version of coronavirus is making people – mainly the unvaccinated – sicker than before.

The U.S. Centers for Disease Control and Prevention warned that Delta, first identified in India and now dominant worldwide, is “likely more severe” than earlier versions of the virus, according to an internal report made public on Friday.

The agency cited research in Canada, Singapore and Scotland showing that people infected with the Delta variant were more likely to be hospitalized than patients earlier in the pandemic.

In interviews with Reuters, disease experts said the three papers suggest a greater risk from the variant, but the study populations are limited and the findings have not yet been reviewed by outside experts. Doctors treating patients infected with Delta described a more rapid onset of COVID-19 symptoms, and in many regions an overall increase serious cases.

But the experts said more work is needed to compare outcomes among larger numbers of individuals in epidemiologic studies to sort out whether one variant causes more severe disease than another.

“It’s difficult to pin down increase in severity and population bias,” said Lawrence Young, a virologist at the UK’s Warwick Medical School.

In addition, it is likely that the extraordinary rate of Delta transmission is also contributing to a greater number of severe cases arriving at hospitals, the experts said.

Delta is as contagious as chickenpox and far more contagious than the common cold or flu, according to the CDC report.

Shane Crotty, a virologist at the La Jolla Institute for Immunology in San Diego, said the clearest indication that the variant may cause more severe disease comes from the Scotland study, which found that Delta roughly doubled the risk of hospitalization compared to an earlier version.

The majority of hospitalizations and deaths from coronavirus in the United States are occurring in people who have not been vaccinated. But there is evidence that the shots are less effective in people with compromised immune systems, including the elderly.

For vaccinated, otherwise healthy individuals, the odds are that if they contract COVID-19 they will only experience asymptomatic or mild disease, said Dr. Gregory Poland, infectious disease expert at the Mayo Clinic.

“But they can pass it on to family members and others who may not be so lucky,” Poland said. “We have to be vaccinated and masked or we will, for the fourth time now, endure another surge and out of that will come worse variants.”

‘FULL-ON FLAMES’

The rate of severe illness, especially in regions where vaccination rates are low, is again straining healthcare workers on the front lines of the pandemic.

“This is like a wildfire, this is not a smoldering campfire. It is full-on flames right now,” said Dr. Michelle Barron, senior medical director of infection prevention and control at Colorado’s UCHealth.

Research from China suggesting that the Delta variant replicates much faster and generates 1,000 times more virus in the body compared to the original strain highlights the biggest danger of this new wave, Barron said.

“It is hard to tell if they are more sick because of the Delta variant or if they would have been more sick anyway,” she said.

Other doctors said patients infected with Delta appear to become ill more quickly, and in some cases with more severe symptoms, than those they treated earlier in the pandemic.

“We are seeing more patients requiring oxygen sooner,” said Dr. Benjamin Barlow, chief medical officer at American Family Care, a 28-state chain of urgent care clinics.

At his clinic in Birmingham, Alabama, Barlow said that around 20% of patients are testing positive for COVID-19, compared with 2-3% a few weeks ago. Patients are assessed at that time for potential hospital admission and oxygen support.

David Montefiori, director of the Laboratory for AIDS Vaccine Research and Development at Duke University Medical Center, said the Delta variant is more infectious and leads to faster onset of illness – particularly for the unvaccinated.

“Frankly there’s a severity that comes from this variant that is a little more severe,” Montefiori said on a webcast last week. “It’s not just easier to transmit, it makes you sicker.”

(Reporting by Deena Beasley in Los Angeles, Josephine Mason in London and Julie Steenhuysen in Chicago; Editing by Michele Gershberg and Daniel Wallis)

Majority of COVID-19 cases at large public events were among vaccinated -U.S. CDC study

(Reuters) – A new study by the U.S. Centers for Disease Control and Prevention showed that three-quarters of individuals who became infected with COVID-19 at public events in a Massachusetts county had been fully vaccinated.

The study, published on Friday, showed that three-quarters of those infected were fully vaccinated, suggesting the Delta variant of the virus is highly contagious.

A separate CDC internal document, first reported by the Washington Post on Friday, described the Delta variant as being as transmissible as chickenpox and cautioned it could cause severe disease.

The new study’s authors recommended that local health authorities consider requiring masks in indoor public settings regardless of vaccination status or the number of coronavirus cases in the community.

The study identified 469 people with COVID-19, 74% of whom were fully vaccinated, following large public events in the state’s Barnstable County. Testing identified the Delta variant in 90% of virus specimens from 133 people.

The viral load was similar in people who were fully vaccinated and those who were unvaccinated, the CDC said.

High viral loads suggest an increased risk of transmission and raised concern that, unlike with other variants, vaccinated people infected with Delta can transmit the virus, it said.

The finding of the report “is concerning and was a pivotal discovery leading to CDC’s updated mask recommendation,” CDC director Rochelle Walensky said in a statement.

On Tuesday, the CDC reversed course on guidance for mask wearing, calling for their use in areas where cases are surging as a precaution against the possible transmission of the virus by fully vaccinated people.

“The masking recommendation was updated to ensure the vaccinated public would not unknowingly transmit virus to others, including their unvaccinated or immunocompromised loved ones,” Walensky said in a statement.

(Reporting by Manas Mishra in Bengaluru; Editing by Howard Goller)

Britain warns COVID-19 could infect half Myanmar in next two weeks

By Michelle Nichols

NEW YORK (Reuters) – Britain’s U.N. ambassador warned on Thursday that half of Myanmar’s 54 million people could be infected with COVID-19 in the next two weeks as Myanmar’s envoy called for U.N. monitors to ensure an effective delivery of vaccines.

Myanmar has been in chaos since the military ousted an elected government led by Aung San Suu Kyi on Feb. 1, with protests and fighting between the army and newly formed militias. The United States, Britain and others have imposed sanctions on the military rulers over the coup and repression of pro-democracy protests in which hundreds have been killed.

“The coup has resulted in a near total collapse of the healthcare system, and health care workers are being attacked and arrested,” British U.N. Ambassador Barbara Woodward told an informal Security Council discussion on Myanmar.

“The virus is spreading through the population, very fast indeed. By some estimates, in the next two weeks, half of the population of Myanmar could be infected with COVID,” she said.

Myanmar state media reported on Wednesday that the military ruler is looking for greater cooperation with other countries to contain the coronavirus.

Infections in the Southeast Asian country have surged since June, with 4,980 cases and 365 deaths reported on Wednesday, according to health ministry data cited in media. Medics and funeral services put the toll much higher.

“In order to have smooth and effective COVID vaccination and providing humanitarian assistance, close-monitoring by the international community is essential,” Myanmar’s U.N. Ambassador Kyaw Moe Tun, who speaks for the elected civilian government, told the Security Council discussion.

“As such, we would like to request the U.N. in particular the Security Council to urgently establish a U.N.-led monitoring mechanism for effective COVID vaccination and smooth delivery of humanitarian assistance,” he said.

Myanmar recently received two million more Chinese vaccines, but it was believed to have only vaccinated about 3.2% of its population, according to a Reuters tracker.

(Reporting by Michelle Nichols; editing by Grant McCool)

Isolated Myanmar calls for international help as COVID cases surge

(Reuters) -Myanmar’s military ruler is looking for greater cooperation with the international community to contain the coronavirus, state media reported on Wednesday, as the Southeast Asian country struggles with a surging wave of infections.

Senior General Min Aung Hlaing called in a speech for more cooperation on prevention, control and treatment of COVID-19, including with fellow members of the Association of Southeast Asian Nations (ASEAN) and “friendly countries,” the Global New Light of Myanmar reported.

Myanmar has been in chaos since the military ousted an elected government led by Aung San Suu Kyi on Feb. 1, with regular protests and fighting between the army and newly formed militias. Various countries including the United States and Britain have imposed sanctions on Myanmar’s military rulers over the coup and the repression of pro-democracy protests in which hundreds have been killed.

The junta leader said vaccinations needed to be increased, through both donated doses and by developing domestic production, aided by Russia, the newspaper said, adding Myanmar would seek the release of funds from an ASEAN COVID-19 fund.

Myanmar recently received two million more Chinese vaccines, but it was believed to have only vaccinated about 3.2% of its population, according to a Reuters tracker. A drive to vaccinate some 40,000 inmates in densely packed prisons, which have seen major virus outbreaks recently, started on Wednesday, state-run MRTV reported.

The military has appeared wary of outside help in past disasters, forcing Myanmar’s people to help each other, though a previous junta did allow in aid via ASEAN after a devastating cyclone in 2008.

There have been desperate efforts by people to find oxygen in many parts of the country. The Myanmar Now news portal, citing witnesses, reported that at least eight people died in a Yangon hospital at the weekend after a piped oxygen system failed.

Reuters could not independently confirm the report and the North Okkalapa General Hospital and a health ministry spokeswoman could not immediately be reached for comment.

Infections in Myanmar have surged since June, with 4,980 cases and 365 deaths reported on Wednesday, according to health ministry data cited in media. Medics and funeral services put the toll much higher.

Last week, prisoners in Yangon staged a protest over what activists said was a major COVID-19 outbreak in the colonial-era Insein jail, where many pro-democracy protesters are being held.

Vaccinations began at Insein and a prison in the capital Naypyitaw on Wednesday and would be extended to inmates countrywide, MRTV reported, citing the prisons department.

Efforts to tackle the outbreak have been further hampered by some of the worst flooding in years in eastern Myanmar.

Despite Min Aung Hlaing agreeing to an ASEAN peace plan reached in April, the military has shown little sign of following through on it and has instead reiterated its own, entirely different plan to restore order and democracy.

The military justified its coup by accusing Suu Kyi’s party of manipulating votes in a November general election to secure a landslide victory. The electoral commission at the time and outside observers rejected the complaints.

But in a further sign of the junta’s tightening grip on power, the military-appointed election commission this week officially annulled the November results, saying the vote was not in line with the constitution and electoral laws, and was not “free and fair,” MRTV reported.

(Reporting by Reuters StaffWriting by Ed Davies and John Geddie; Editing by Robert Birsel and Nick Macfie)