Tag Archives: WHO

Philippines’ Duterte threatens vaccine decliners with jail, animal drug

MANILA (Reuters) -Philippines President Rodrigo Duterte, frustrated by the slow pace of COVID-19 vaccinations in his country, threatened people who refuse to get inoculated with jail or an injection of Ivermectin, an anti-parasite drug widely used to treat animals.

Ivermectin has been touted as an alternative treatment for COVID-19 but U.S. and European regulators and the World Health Organization (WHO) have recommended against it.

“You choose, vaccine or I will have you jailed,” Duterte said in a televised address late on Monday, following reports of low turnout at several vaccination sites in the capital Manila.

“But for as long as you are here and you are a human being, and can carry the virus, get vaccinated.

“Otherwise, I will order all the village captains to have a tally of the people who refuse to be vaccinated. Because if not, I will have Ivermectin meant for pigs injected into you.”

Duterte is famous for his bellicose rhetoric and his remarks on Monday contradicted those of his health officials, who have said getting vaccinated against COVID-19 is voluntary.

“Don’t get me wrong, there is a crisis in this country,” Duterte said. “I’m just exasperated by Filipinos not heeding the government.”

With over 1.3 million cases, the Philippines is fighting one of Asia’s must stubborn COVID-19 epidemics.

But as of June 20, just 2.1 million people had been fully vaccinated of the 70 million people targeted for this year.

Duterte, who has been criticized for his tough approach to containing the virus, also stood by his decision not to let schools reopen.

In the same televised address, he took a swipe at the International Criminal Court, after an ICC prosecutor sought permission from the court for a full inquiry into thousands of killings by police in a war on drugs ordered by Duterte.

Duterte, who cancelled the Philippines’ membership of the ICC’s founding treaty, said he would not cooperate with the probe and described the ICC as “bullshit”.

“Why would I defend or face an accusation before white people. You must be crazy,” he said.

Human rights groups say authorities have summarily executed drug suspects, but Duterte maintains those killed had violently resisted arrest.

Asked for comment, ICC court spokesperson Fadi El Abdallah said: “The court is an independent judicial institution, and does not comment on political statements”.

(Reporting by Karen Lema; Additional reporting by Stephanie van den Berg in The Hague; Editing by Angus MacSwan, Martin Petty and Gareth Jones)

Delta COVID variant becoming globally dominant, WHO official says

GENEVA (Reuters) – The Delta variant of COVID-19, first identified in India, is becoming the globally dominant variant of the disease, the World Health Organization’s chief scientist said on Friday.

Soumya Swaminathan also voiced disappointment in the failure of CureVac’s vaccine candidate in a trial to meet the WHO’s efficacy standard, in particular as highly transmissible variants boost the need for new, effective shots.

Britain has reported a steep rise in infections with the Delta variant, while Germany’s top public health official predicted it would rapidly become the dominant variant there despite rising vaccination rates.

The Kremlin blamed a surge in COVID-19 cases on reluctance to have vaccinations and “nihilism” after record new infections in Moscow, mostly with the new Delta variant, fanned fears of a third wave.

“The Delta variant is well on its way to becoming the dominant variant globally because of its increased transmissibility,” Swaminathan told a news conference.

Coronavirus variants were cited by CureVac when the German company this week reported its vaccine proved only 47% effective at preventing disease, shy of the WHO’s 50% benchmark.

The company said it documented at least 13 variants circulating within its study population.

Given that similar mRNA vaccines from Pfizer and BioNTech and Moderna posted efficacy rates topping 90%, Swaminathan said the world had been expecting more from CureVac’s candidate.

“Just because it’s another mRNA vaccine, we cannot presume all mRNA vaccines are the same, because each one has a slightly different technology,” Swaminathan said, adding the surprise failure underscored the value of robust clinical trials to test new products.

WHO officials said Africa remains an area of concern, even though it accounts for only around 5% of new global infections and 2% of deaths.

New cases in Namibia, Sierra Leone, Liberia and Rwanda have doubled in the last week, WHO emergencies program head Mike Ryan said, while vaccine access remains miniscule.

“It’s a trajectory that is very, very concerning,” Ryan said. “The brutal reality is that in an era of multiple variants, with increased transmissibility, we have left vast swathes of the population, the vulnerable population of Africa, unprotected by vaccines.”

(Reporting by John Miller, writing by Giles Elgood, Editing by Catherine Evans and Michael Shields)

Hundreds of vaccinated Indonesian health workers get COVID-19, dozens in hospital

By Kate Lamb, Agustinus Beo Da Costa and Stanley Widianto

JAKARTA (Reuters) -More than 350 doctors and medical workers have caught COVID-19 in Indonesia despite being vaccinated with Sinovac and dozens have been hospitalized, officials said, as concerns grow about the efficacy of some vaccines against more infectious variants.

Most of the workers were asymptomatic and self-isolating at home, said Badai Ismoyo, head of the health office in the district of Kudus in central Java, but dozens were in hospital with high fevers and falling oxygen-saturation levels.

Kudus, which has about 5,000 healthcare workers, is battling an outbreak believed to be driven by the more transmissible Delta variant, which has raised its bed occupancy rates above 90%.

Designated as a priority group, healthcare workers were among the first to be vaccinated when inoculations began in January.

Almost all have received the COVID-19 vaccine developed by Chinese biopharmaceutical company Sinovac, the Indonesian Medical Association (IDI) says.

While the number of Indonesian healthcare workers dying from COVID-19 has dropped sharply from 158 in January to 13 in May, according to data initiative group LaporCOVID-19, public health experts say the Java hospitalizations are cause for concern.

“The data shows they have the Delta variant (in Kudus) so it is no surprise that the breakthrough infection is higher than before, because, as we know, the majority of healthcare workers in Indonesia got Sinovac, and we still don’t know yet how effective it is in the real world against the Delta variant,” said Dicky Budiman, an epidemiologist at Australia’s Griffith University.

A spokesperson from Sinovac was not immediately available for comment on the efficacy of the Chinese firm’s CoronaVac against newer variants of the virus.

The World Health Organization (WHO) approved emergency use of Sinovac’s vaccine this month, saying results showed it prevented symptomatic disease in 51% of recipients and prevented severe COVID-19 and hospital stays.

As Indonesia grappled with one of Asia’s worst outbreaks, with over 1.9 million infections and 53,000 deaths, its doctors and nurses have suffered a heavy toll of 946 deaths.

Many are now experiencing pandemic fatigue and taking a less vigilant approach to health protocols after being vaccinated, said Lenny Ekawati, from the independent health-linked data group LaporCOVID-19.

Across Indonesia, at least five doctors and one nurse have died from COVID-19 despite being vaccinated, according to LaporCOVID-19, although one had only received a first shot.

Siti Nadia Tarmizi, a senior health ministry official, did not immediately respond to a request for comment on how many doctors have died since the vaccination program began.

In Kudus, one senior doctor has died, said IDI.

Nadia said there had been no deaths in Kudus since a new outbreak began in the past several weeks among medical workers and that those who contracted COVID-19 have had mild symptoms.

In Jakarta, the capital, radiologist Dr. Prijo Sidipratomo told Reuters he knew of at least half a dozen doctors hospitalized with COVID-19 in the past month despite being vaccinated, with one now being treated in an ICU.

“It is alarming for us because we cannot rely on vaccinations only,” he said, urging people to take precautions.

Weeks after the Muslim Eid Al-Fitr holidays, Indonesia has experienced a surge in cases, with the positivity rate exceeding 23% on Wednesday and daily cases nearing 10,000, its highest since late February.

In its latest report, the WHO urged Indonesia to tighten its lockdown amid increased transmission and a surge in bed occupancy rates.

(Reporting by Kate Lamb in Sydney and Agustinus Beo Da Costa and Stanley Widianto in Jakarta; Editing by Michael Perry, Clarence Fernandez and Bernadette Baum)

Factbox-Latest on the worldwide spread of the coronavirus

(Reuters) – Novavax Inc on Monday said its COVID-19 vaccine was more than 90% effective, including against a variety of concerning variants of the coronavirus in a large, late-stage U.S.-based clinical trial.

DEATHS AND INFECTIONS

EUROPE

* Prime Minister Boris Johnson delayed his plans to lift remaining COVID-19 curbs by a month, warning that thousands of more people might die if he did nothing because of the rapid spread of the more infectious Delta variant.

* COVID-19 vaccines made by Pfizer and AstraZeneca offer high protection of more than 90% against hospitalization from the Delta coronavirus variant, a new analysis by Public Health England showed.

* Norway now expects to receive 900,000 fewer Pfizer and BioNTech vaccine doses in the July-September quarter compared to what authorities had earlier anticipated, the health minister said.

* The Delta variant doubles the risk of hospitalization compared with the previously dominant variant in Britain, but two doses of vaccine still provide strong protection, a Scottish study found.

ASIA-PACIFIC

* Philippines President Rodrigo Duterte extended partial coronavirus curbs in the capital and nearby provinces until end-June, but placed more areas under tighter quarantine measures because of rising infections and high hospital occupancy.

AMERICA

* Mexican health officials said the country will receive its first shipment of J&J vaccines on Tuesday.

MIDDLE EAST AND AFRICA

* Africa will get priority treatment for the Group of Seven’s pledged 870 million doses of COVID-19 vaccine, a senior World Health Organization adviser said on Monday.

* Johnson & Johnson will export more ready-to-administer COVID-19 vaccines to South Africa beyond the 300,000 doses already pledged, CEO of Aspen Pharmacare said.

* In Afghanistan, the two main hospitals treating people with COVID-19 have had to close their doors to new patients because of a lack of beds, a senior health official and doctors said.

MEDICAL DEVELOPMENTS

* South Korean drugmaker Celltrion announced positive results for its experimental antibody COVID-19 treatment.

ECONOMIC IMPACT

* Global stock markets were mixed on Monday, U.S. Treasury yields ticked up and gold slid as investors prepared themselves for an upcoming Federal Reserve meeting and any clues on the trajectory of its unprecedented monetary stimulus. [MKTS/GLOB]

* The European Union began selling the first bond backing its recovery fund, according to a lead manager, a crucial step in financing member states’ economic recovery.

* The World Bank has approved a $250 million loan to support Botswana’s economic recovery efforts.

(Compiled by Krishna Chandra Eluri, Juliette Portala and Veronica Snoj; edited by Catherine Evans, Mark Heinrich and Arun Koyyur)

Biden says biggest vaccine donation ‘supercharges’ battle against coronavirus

By Steve Holland

CARBIS BAY, England (Reuters) – U.S. President Joe Biden said on Thursday that a donation of 500 million doses of the Pfizer COVID-19 vaccine to the world’s poorest countries would supercharge the battle with the virus and comes with “no strings attached.”

Biden, speaking alongside Pfizer Chief Executive Albert Bourla in the English seaside resort of Carbis Bay ahead of a G7 summit, thanked other leaders for recognizing their responsibility to vaccinate the world.

“The United States is providing these half billion doses with no strings attached. No strings attached,” Biden said. “Our vaccine donations don’t include pressure for favors, or potential concessions. We’re doing this to save lives.”

Biden, keen to burnish his multilateral credentials on his first foreign trip as leader, cast the donation as a bold move that showed America recognized its responsibility to the world and to its own citizens.

“America will be the arsenal of vaccines in our fight against COVID-19, just as America was the arsenal of democracy during World War Two,” Biden said.

The largest ever vaccine donation by a single country will cost the United States $3.5 billion but will spur further donations from other G7 leaders – including British Prime Minister Boris Johnson.

G7 leaders want to vaccinate the world by the end of 2022 to try to halt the COVID-19 pandemic that has killed more than 3.9 million people, devastated the global economy and upended the normal lives of billions of people.

Vaccination efforts so far are heavily correlated with wealth: the United States, Europe, Israel and Bahrain are far ahead of other countries. A total of 2.2 billion people have been vaccinated so far out of a world population of nearly 8 billion, based on Johns Hopkins University data.

‘SAVE LIVES’

U.S. drugmaker Pfizer and its German partner BioNTech have agreed to supply the U.S. with the vaccines, delivering 200 million doses in 2021 and 300 million doses in the first half of 2022.

The shots, which will be produced at Pfizer’s U.S. sites, will be supplied at a not-for-profit price. Around 100 countries will get the shots.

Pfizer CEO Bourla said the eyes of the world were on the leaders of rich nations to see if they would act to solve the COVID-19 crisis and share with poorer nations.

“This announcement with the U.S. government gets us closer to our goal and significantly enhances our ability to save even more lives across the globe,” he said.

While such a large donation of vaccines was welcomed by many, there were immediately calls for the richest nations of the world to open up more of their giant hoards of vaccines.

Anti-poverty campaign group Oxfam called for more to be done to increase global production of vaccines.

“Surely, these 500 million vaccine doses are welcome as they will help more than 250 million people, but that’s still a drop in the bucket compared to the need across the world,” said Niko Lusiani, Oxfam America’s vaccine lead.

“We need a transformation toward more distributed vaccine manufacturing so that qualified producers worldwide can produce billions more low-cost doses on their own terms, without intellectual property constraints,” he said in a statement.

Another issue, especially in some poor countries, is the infrastructure for transporting the vaccines which often have to be stored at very cold temperatures.

IP WAIVER

Biden has also backed calls for a waiver of some vaccine intellectual property rights but there is no international consensus yet on how to proceed.

The new vaccine donations come on top of 80 million doses Washington has already pledged to donate by the end of June. There is also $2 billion in funding earmarked for the COVAX program led by the World Health Organization (WHO) and the Global Alliance for Vaccines and Immunization (GAVI), the White House said.

GAVI and the WHO welcomed the initiative.

Washington is also taking steps to support local production of COVID-19 vaccines in other countries, including through its Quad initiative with Japan, India and Australia.

(Reporting by Steve Holland in St. Ives, England, Andrea Shalal in Washington and Caroline Copley in Berlin; Writing by Guy Faulconbridge and Keith Weir; Editing by Leslie Adler, David Evans, Emelia Sithole-Matarise, Giles Elgood, Jane Merriman and Marguerita Choy)

Coronavirus wave takes Haiti, yet to begin vaccinations, by surprise

By Andre Paultre and Sarah Marsh

PORT-AU-PRINCE (Reuters) – For more than a year, Haiti escaped the worst ravages of the COVID-19 pandemic, reporting few cases and fatalities – a rare break for the poorest country in the Americas, which has so often been beset by misfortune.

COVID-19 treatment centers closed for lack of patients, Haitians resumed life as normal, and the government hesitated to even accept its allotment of free AstraZeneca vaccines through the U.N.-backed COVAX mechanism due to safety and logistical concerns.

Now, though, as some countries are already moving into a post-pandemic phase thanks to vaccination campaigns, Haiti is grappling with its first serious outbreak.

And it is one of only a handful of countries worldwide that has yet to administer a single shot of coronavirus vaccine.

Last month, infections and fatalities rose more than fivefold following the arrival of new variants, in what the Pan American Health Organization (PAHO) called a “cautionary tale in just how quickly things can change with this virus.”

Officially, Haiti had recorded 15,895 infections and 333 deaths from COVID-19 as of June 5 among its 11 million people – relatively low case numbers compared to elsewhere in Latin America and the Caribbean.

Yet data is limited due to low testing rates and doctors say the real numbers are likely much higher. Every day comes news of deaths from COVID-19 of well-known figures, like a former senator or the head of the pension agency.

And the upwards trend could prove “catastrophic,” according to Laure Adrien, General Director of Haiti’s Health Ministry.

Poor sanitation means disease can spread fast in Haiti. Its slums are densely packed, and its already overwhelmed and shambolic healthcare system is dependent on fickle donations.

Last week, two of the main hospitals treating COVID-19 patients in capital Port-au-Prince announced they were saturated.

“We are overwhelmed with patients,” said Marc Edson Augustin, medical director of St. Luke Hospital.

Jean ‘Bill’ Pape, a top Haitian infectious disease expert, said the country was now not as prepared as it had been.

“We need to reopen new centers to increase the number of dedicated COVID beds,” said Pape.

The new wave also comes amid surging gang violence that is hampering the provision of what little healthcare is available.

The St. Luke hospital warned on Monday it may have to close its COVID-19 unit altogether as violence was making it hard to stock up on oxygen at the production site in the Cite Soleil slum.

Already in February Doctors Without Borders (MSF) shut all but the emergency department at the hospital in Cite Soleil where it last year treated COVID-19 patients.

Wealthier Haitians are paying to be medevaced to Florida or the Dominican Republic.

NOT A PRIORITY

Haitian doctors largely credited their country’s apparent resilience to the coronavirus last year to its relatively young population. Around half of Haitians are under 25 years old.

Many locals dismissed the virus as not a big deal or even doubted its existence. Its importance faded amid a growing humanitarian crisis in the wake of political unrest and extreme weather associated with climate change.

So when reports emerged last month of the arrival of the new variants first identified in Britain and Brazil and an uptick in cases, reaction was initially subdued.

Authorities mandated renewed precautions like masks in public spaces, instituted an overnight curfew, and suspended year-end graduation ceremonies. President Jovenel Moise urged Haitians to drink medicinal tea to ward off the virus, an unproven remedy.

Yet many Haitians continued life as usual, with authorities unwilling or unable to enforce measures. One mayor of a Port-au-Prince district last week staged a music concert attended by thousands not wearing masks.

Pressure is building, though. PAHO Director Carissa Etienne said last week there was “no time to waste” as additional health capacity and preventive measures to curb transmission would be “decisive.”

Businesses are starting to require Haitians to only enter wearing masks and new COVID-19 treatment centers are opening.

“We have to open new structures to take more patients with respiratory difficulties to avoid a catastrophe,” said Ronald Laroche, a doctor who runs a network of low-cost health centers and hospitals, and opened a COVID-19 center this week.

On Monday, the electoral council postponed a referendum on a new constitution that had been scheduled for the end of June.

And next week, Haiti should receive its first batch – 130,000 doses – of COVID-19 vaccines through the World Health Organization’s COVAX vaccination scheme.

Doctors say the challenge now will be convincing Haitians to actually have the vaccine.

Ronald Jean, 38, a restaurant manager in Port-au-Prince, said he was for the first time afraid of the virus.

But “first the authorities should take the vaccine on television, we’ll see how they do,” he said. “And then I will decide whether or not to take it.”

(Reporting by Andre Paultre and Valerie Baeriswyl in Port-au-Prince and Sarah Marsh in Havana; Additional reporting by Anthony Boadle in Sao Paolo; Editing by Rosalba O’Brien)

Factbox: Latest on the worldwide spread of the coronavirus

(Reuters) – The head of the World Health Organization has called for launching negotiations this year on an international treaty to boost pandemic preparedness, as part of sweeping reforms envisioned by member states.

EUROPE

* Germany’s Robert Koch Institute (RKI) for infectious disease is to reduce the coronavirus risk level for the country to “high” from “very high” as the situation improves, Health Minister Jens Spahn said.

* Spain is considering easing rules on wearing face masks outdoors, as early as in mid-June.

AMERICAS

* With half the country at least partially protected against the coronavirus, Americans escaped their pandemic doldrums over the Memorial Day holiday weekend.

ASIA-PACIFIC

* South Korea closed its first phase of reservations for Johnson and Johnson vaccines as military personnel signed up for all 800,000 shots on offer, the government said.

* A shipment of coronavirus vaccines to North Korea via the global COVAX sharing program that was expected for late May has been delayed again amid protracted consultations, South Korea’s Unification Ministry said.

* Australia’s Victoria state authorities said it was still unclear whether a snap one-week lockdown to contain a fresh COVID-19 outbreak would end as planned on Thursday night, as the state grapples with a growing virus outbreak.

* Japan plans to start vaccination at workplaces and universities on June 21 to speed up the country’s inoculation drive.

MIDDLE EAST AND AFRICA

* Dubai, the second-largest member of the United Arab Emirates federation, has started offering the Pfizer-BioNTech vaccine to 12-15 year old’s, the government media office said on Twitter.

* Turkey further eased measures including partially lifting a weekend lockdown and opening restaurants to a limited number of guests.

MEDICAL DEVELOPMENTS

* A Wuhan-based affiliate of China’s Sinopharm said the start of operations at a new factory will raise the annual production capacity of its COVID-19 vaccine to at least 1 billion doses.

* A deal on an intellectual property waiver for COVID-19 vaccines at the World Trade Organization was no closer to acceptance on Monday despite Washington’s backing, due to expected skepticism about a new draft, sources close to the talks told Reuters.

ECONOMIC IMPACT

* Global stocks again hit record highs and oil rose on Tuesday, before European and U.S. data that should this week offer major clues to the health of the world economy.

* Euro zone manufacturing activity expanded at a record pace in May, according to a survey which suggested growth would have been even faster without supply bottlenecks that have led to an unprecedented rise in input costs.

* Ireland will begin to gradually phase out temporary coronavirus-related jobless payments later this year while maintaining other income and business supports as the economy fully reopens, Public Expenditure Minister Michael McGrath said.

* Turkish factory activity shrank in May for the first time in a year as output and new orders slowed down due to a 17-day full lockdown imposed to curb a surge in new coronavirus cases, a survey showed.

(Compiled by Jagoda Darlak and Ramakrishnan M.; Editing by William Maclean)

U.S. calls for ‘transparent’ new investigation into COVID origins

By Stephanie Nebehay

GENEVA (Reuters) – The United States called on Tuesday for international experts to be allowed to evaluate the source of the coronavirus and the “early days of the outbreak” in a second phase of an investigation into the origins of the coronavirus.

U.S. intelligence agencies are examining reports that researchers at a Chinese virology laboratory were seriously ill in 2019 a month before the first cases of COVID-19 were reported, according to U.S. government sources who cautioned on Monday that there is still no proof the disease originated at the lab.

“Phase 2 of the COVID origins study must be launched with terms of reference that are transparent, science-based, and give international experts the independence to fully assess the source of the virus and the early days of the outbreak,” U.S. health secretary Xavier Becerra said in a video message to the annual ministerial meeting of the World Health Organization.

Becerra did not mention China directly, where the first known human cases of COVID-19 emerged in the central city of Wuhan in December 2019.

The origin of the virus is hotly contested. In a report issued in March written jointly with Chinese scientists, a WHO-led team that spent four weeks in and around Wuhan in January and February said the virus had probably been transmitted from bats to humans through another animal, and that “introduction through a laboratory incident was considered to be an extremely unlikely pathway”.

A WHO spokesman, Tarik Jasarevic, asking about a follow-up mission, told Reuters on Monday that the agency was reviewing the recommendations from the report at the technical level.

“The technical teams will prepare a proposal for the next studies that will need to be carried out, and will present that to the Director-General for his consideration,” he said, referring to WHO director-general Tedros Adhanom Ghebreyesus.

Jasarevic, noting Tedros’ remarks on March 30, said that further studies would be needed in a range of areas, including on the early detection of cases and clusters, the potential roles of animal markets, transmission via the food chain and the laboratory incident hypothesis.

(Reporting by Stephanie Nebehay; Editing by Andrew Heavens and Philippa Fletcher)

India’s halt to vaccine exports ‘very problematic’ for Africa

By Giulia Paravicini

ADDIS ABABA (Reuters) – An extended halt to exports of COVID-19 vaccines from India, where authorities are battling a wave of domestic infections, risks derailing vaccination efforts already underway in Africa, one of the continent’s top health officials said on Tuesday.

India stopped vaccine exports a month ago and, according to a Reuters report earlier on Tuesday, is now unlikely to resume major exports before October, dealing a major setback to the global COVAX initiative on which many poor countries rely.

Africa has lagged far behind other regions due to supply issues and meagre financial resources but had planned to vaccinate 30-35% of its population by the end of the year and 60% within the next two to three years.

“This is very problematic as it means unpredictability of our vaccination programs and a serious risk of not achieving our stated target… on time,” the director of the Africa Centers for Disease Control and Prevention, John Nkengasong, wrote to Reuters.

Those targets primarily relied on supplies from the global COVAX vaccine-sharing facility, which has depended heavily on AstraZeneca shots produced by the Serum Institute of India (SII).

“Given India’s huge challenges, it will be impossible to expect anything soon,” Nkengasong said.

There have been at least 4,742,000 reported infections and 126,000 reported deaths caused by the novel coronavirus in Africa so far, according to a Reuters tally.

And while the pandemic’s impact has been less acute than in the United States, Europe and now India, Africa’s largely unvaccinated population of over 1 billion remains vulnerable, experts say.

COVAX had already begun distributing millions of doses of the two-shot AstraZeneca vaccine to countries across Africa. But those initial shipments have now been largely exhausted, with around 80% having been administered as a first dose, according to the World Health Organization (WHO).

Most countries using COVAX will now surpass the 12-week maximum interval recommended between the first and second dose of AstraZeneca unless 20 million doses are delivered by the end of June and another 5 million in July, the WHO said.

“The supply gap could be closed if countries with adequate supplies set aside a percentage of vaccines for COVAX,” said Richard Mihigo, coordinator of the WHO’s Immunization and Vaccines Development Program in Africa.

A deal negotiated with Johnson & Johnson by the African Union should supply Africa with 400 million vaccine doses beginning in the third quarter of this year.

Several countries’ health officials told Reuters they had yet to receive updated information on expected arrival dates for COVAX shots. Some are now weighing their options.

Ethiopia, for example, has received just 2.2 million of the 7.6 million AstraZeneca shots it was due to get through COVAX by the end of April.

“We were expecting some delays, but not to this scale. As a country we must search other options,” Muluken Yohannes, a senior adviser to Ethiopia’s health ministry, told Reuters.

(Additional reporting by Omar Mohammed in Nairobi, Christophe Van Der Perre in Dakar and Camillus Eboh and Felix Onuah in Abuja; Editing by Joe Bavier and Alexandra Hudson)

COVID and conflict: Gaza’s hospitals strained on two fronts

By Nidal al-Mughrabi

GAZA (Reuters) – Gaza’s hospitals were already struggling to cope with the COVID-19 pandemic before the conflict with Israel erupted last week. Now, medics say, they are being stretched further.

“The Ministry of Health is fighting on two fronts in the Gaza Strip – the coronavirus front and the other front, which is more difficult, is the injuries and the wounded,” said Marwan Abu Sada, the director of surgery in Gaza’s main Shifa hospital.

More than a week into fighting, with Palestinians pounded night and day by airstrikes and Israelis racing for refuge from rockets as sirens wail, Gaza’s doctors are battling to keep pace.

At Shifa, the biggest health facility among the 13 hospitals and 54 clinics serving the crowded enclave’s 2 million people, the number of intensive care beds has been doubled to 32 as the toll of those wounded from the conflict mounts.

Like the rest of the system, the 750-bed hospital faced shortages of medicines and equipment before fighting erupted on May 10 – blamed by medics on a blockade led by Israel and backed by Egypt, which shares a border with Gaza. Israel says its measures aim to stop arms reaching militants. “The list of essential medications and medical disposables suffered an acute shortage,” Abu Sada said.

It’s not just medicines in short supply. Fuel for generators that power Gaza’s hospitals – with main’s power too intermittent to be relied on – is also running out.

Israel says its blockade does not aim to stop medicines or other humanitarian supplies, and any shortages are the result of actions by Hamas, the Islamist group that has run Gaza since 2007, when the blockade was imposed.

“Hamas constructed a network of underground terror tunnels in Gaza underneath the homes of Palestinians, using funds meant for their health & welfare to expand Hamas’ terror machine instead,” Israel’s Foreign Ministry said on Twitter Monday.

Hamas has rejected the accusation.

Palestinians say 201 people have been killed in Gaza since the fighting started, with hundreds more hurt, including those wounded by shrapnel or injured by collapsing buildings.

Israel has reported 10 dead in the rocket salvoes, with many more injured, some directly by the blasts and others when dashing to safety. Some are in a critical condition.

“We have a very bad time over here,” said Racheli Malka, an Israeli living in Ashkelon, a city north of Gaza repeatedly hit by rockets. “I hope it will finish fast.”

Nearby, Israelis celebrated the Jewish festival of Shavuot in a synagogue that had a hole caused by a rocket strike.

The Israeli military said Hamas – regarded by Israel, the United States and European Union as a terrorist group – and others militants had fired about 3,150 rockets in the past week.

‘OLD EQUIPMENT, OLD BUILDINGS’

Sacha Bootsma, the head of the World Health Organization in Gaza, said COVID-19 had strained the enclave’s struggling system.

“Before COVID, the health system could be categorized as fragile because it has very old equipment, old buildings, a shortage of properly trained health staff and, of course, a chronic shortage of essential medicines,” she said.

Gaza has reported about 106,000 cases of COVID-19, or about 5.3% of the population, with 986 deaths, health official say.

While Israel has rolled out one of the fastest vaccination programs in the world, fully inoculating about 55% of its 9.3 million people, Gaza received about 110,000 doses, or enough for 55,000 people, health officials say, to be distributed among one of the most densely populated areas in the world.

One ward at Shifa, still marked “Corona Isolation Department”, has had to be turned into an intensive care unit for those injured in the conflict.

“We require more urgent support from international and relief institutions,” said Ashraf Al-Qidra, spokesman for the ministry of health, calling for medicines and ambulances.

For those living near Shifa hospital, the sound of ambulances wears on their already shattered nerves. “As long as we hear sirens we know it is not over yet,” said Karam Badr, 57.

Yet, healthcare workers keep the creaking medical facilities going. WHO’s Bootsma said scarce resources were still reaching those most in need.

“The resilience of the health system is remarkable,” she said.

(Reporting by Nidal al-Mughrabi in Gaza; Additional reporting by Eli Berlzon in Ashkelon; Writing by Edmund Blair; Editing by Alex Richardson)