Monday, November 01, 2021

Benighted Vaccine Ignorance : Thinning of the Eastern European Population


"It's not a tall tale. I see that this disease kills, and strong immunity wouldn't be enough -- only a vaccine can offer protection."
"I'm really scared and I'm pleading with doctors to help me correct my mistake [buying a fake vaccination certificate for his travel documents hauling cargo to European points]."
"You can't heat this illness. You can buy a counterfeit certificate, but you can't buy antibodies."
"Ukrainians are slowly starting to realize there is no alternative to vaccination."
Andriy Melnik, truck driver, Kyiv, Ukraine

"We're seeing low vaccine uptake in a whole swath of countries across that part of the region [Eastern Europe]."
"Historical issues around vaccines come to play. In some countries, the whole vaccine issue is politicized."
Catherine Smallwood, Europe COVID-19 incident manager, World Health Organization

"We are on the verge of catastrophe, pushed by aggressive opponents of vaccination and the lack of funds."
"Regrettably, five workers in my ward have quit over the past week."
Dr.Serhiy Shvets, head, surgical ward, Biliaivka Hospital, Ukraine
"I'm weeping in despair when I see that 99 percent of patients in serious condition with COVID-19 are unvaccinated, and those people could have protected themselves."
"We are left struggling to save them without sufficient drugs and resources."
"Fake stories have spread widely, making people believe in microchips and genetic mutations."
:Some Orthodox priests have openly and aggressively urged people not to get vaccinated, and social networks have been filled with the most absurd rumours."
"Ukrainians have learned to distrust any authorities' initiatives, and vaccination isn't an exclusion."
Dr.Olha Kobevko infectious disease specialist, Chernivtsi Hospital, Ukraine 
A medic tends to coronavirus disease (COVID-19) patients at the intensive care unit (ICU) of Pirogov hospital in Sofia, Bulgaria, October 15, 2021. Picture taken October 15, 2021. REUTERS/Stoyan Nenov
A medic tends to coronavirus disease (COVID-19) patients at the intensive care unit (ICU) of Pirogov hospital in Sofia, Bulgaria, October 15, 2021. Photo: October 15, 2021. REUTERS/Stoyan Nenov
 
On the African continent, populations vulnerable to the SARS-CoV-2 virus causing COVID in every country have little option over whether or not to be inoculated against the novel coronavirus. They haven't the opportunity, since vaccines of any type and origin are scarce, and where vaccines are available they're short-dated and there is a serious lack of syringes. The WHO  calls this lack of equity. It is the wealthy countries of the world that are swimming in vaccines.

And there anti-vaxxers and vaccine-hesitant people in significant numbers represent the only deterrence to having the majority of any population inoculated against COVID. The promises made by advanced countries in the West with ample access to medical equipment and vaccine doses to provide the WHO vaccine-sharing program Covax with doses for the less advanced countries of the world are not meeting their obligations. In Europe there is no shortage of vaccines. The EU is acknowledged as having a high rate of vaccine coverage altogether.

And then, there is Eastern Europe, a dismal failure in vaccine uptake by its populations. Unsurprisingly, as a result of resistance to vaccines, the countries of Eastern Europe are facing a catastrophic rise of     COVID cases, hospitalizations and deaths. Exceptions to the widespread trend of vaccine rejection are the Baltic nations, Poland, the Czech Republic, Slovenia and Hungary. Public distrust is driving a low uptake of vaccines in other Eastern European countries, however.
 
Medical workers carry a patient suspected of having coronavirus on a stretcher at a hospital in Kommunarka, outside Moscow, Russia, Monday, Oct. 11, 2021.
Medical workers carry a patient suspected of having coronavirus on a stretcher at a hospital in Kommunarka, outside Moscow, Russia, Monday, Oct. 11, 2021    AP Photo/Alexander Zemlianichenko
 
There were 1,159 recorded COVID-related deaths in Russia in 24 hours, last week, the largest daily death count since the beginning of the pandemic. Roughly a third of the country's 146 million population has been fully vaccinated. In response, the Kremlin ordered a nonworking period to last to November 7. In Hungary private companies can require their employees to be vaccinated if they want to retain their employment, and government employees are required to be be vaccinated. 

Poland reported its highest number of daily infections at over 8,000 last Thursday. A mere 15 percent of the adult population in Ukraine is fully vaccinated, representing the second-lowest rate in Europe, following Armenia's 7 percent. Teachers, government employees and other workers are required to be fully vaccinated by November 8 in Ukraine to avoid suspension in pay. People may not board planes, trains or long-distance buses without proof of vaccination or a negative test.

A black market in counterfeit documents has emerged with fake vaccination certificates selling for $100 to $300. Police have opened 800 criminal cases into workers at 15 hospitals in Ukraine being involved in counterfeit certificates, with 100 mobile units deployed to track down users, according to the Interior Minister. Last week, a former lawmaker was among those arrested. In the western city of Chernivtsi, ten to 23 patients die daily of COVID, with those aged in their 30s and 40s impacted.

Believing the rumours that Western vaccines contain microchips to control people, Lidia Buiko, 72, chose the Chinese Sinovac vaccine: "Priests have urged us to think twice about getting immunized -- it would be impossible to get rid of the chip", she explained, waiting for her injection in a Kyiv clinic. It is estimated that roughly half of Ukrainian medical workers express vaccine reluctance. "The risks of misinformation to vaccination have never been  higher; nor have the stakes", commented     UNICEF representative in Ukraine Murat Sahin.

About 35 percent of vaccine-eligible adults in Romania are fully immunized where tighter restrictions are in effect requiring vaccination certificates for attending a gym, the movies or shopping malls. With a 10 p.m. curfew, shops close at 9 p.m., bars and nightclubs shuttered for 30 days, and masks are mandatory in public. 
 
Bulgaria has a quarter of its adult population fully vaccinated and reports record numbers of infections and deaths. Official data identify Bulgaria with the highest COVID-19 mortality rate in the 27-nation European Union, with 94 percent of deaths representing the unvaccinated.Authorities in Georgia launched a lottery of cash prizes to entice the population to be vaccinated, where 33 percent of the population has been fully vaccinated.
"[So many are] afraid of the vaccines because of the immense [amount of] fake information that has flooded social media and TV."
"Every day we see people arriving with shortness of breath and most of them are feeling sorry for not being vaccinated."
Dr.Dragos Zaharia, Marius Nasta Institute of Pneumology, Bucharest

"[The government's information campaign] was not designed according to the peculiarities of our country."
"The emphasis should have been done, for instance, on the Georgian Orthodox church, because we have many instances when priests are saying that vaccination is a sin."
Dr.Bidzina Kulumbegov, Georgia
A healthcare worker is waiting for patients at a Covid-19 vaccination centre at The Military Medical Academy in Sofia.
A healthcare worker is waiting for patients at a Covid-19 vaccination centre at The Military Medical Academy in Sofia.

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Wednesday, April 28, 2021

India Afire

"The health-care system in India, both public and private, is literally bursting at its seams."
"People come to the emergency room, the hospitals, then they keep waiting for hours, they don’t find a bed. Unfortunately, some of them die while waiting."
"They’re [health care workers] emboldened by the fact most of them have been vaccinated. I generally see a lot of purpose and dedication amongst all the health-care workers at all the hospitals."
Dr. Arvinder Soin, chief surgeon, Medanta Hospital, New Delhi
 
"We need global solidarity to end a global pandemic."
"Many parts of the world should look at India right now and recognize that until we have a sizeable number of people who have been vaccinated across the world, we need to be very careful about how we lift restrictions."
Dr. Swapneil Parikh, internal medicine physician, Mumbai
 
"Today, the situation is that between 15 and 20 percent of people from every village in Rajnandgaon [district] are COVID-19 positive but these cases aren't on any government record."
Motilal Sinha, social activist, Chhattisgarh

"For seven days, most of us haven't slept."
"Because of the scarcity [of oxygen], we are forced to put two patients on one cylinder."
Dr K. Preetham, administrator, Indian Spinal Injuries Centre
Workers unload a medical oxygen tanker from the 'Oxygen Express' train at Delhi Cantt railway station in New Delhi on Tuesday. (Anindito Mukherjee/Bloomberg/Getty Images)

India is in dire straits as it continues to be ravaged by COVID-19. Its situation has fixed the attention of the world on the desperate scenes unfolding there, where its capital, New Delhi, and its financial centre, Mumbai, are engulfed in a huge wave of COVID infection rates and ultimately, deaths among a population so immense that crowded living conditions are unavoidable, and with them, upward cascading infection rates.
 
Thousands of people are dying every day in Delhi and Mumbai, infected by a hugely devouring pathogen, inexorably spreading in the Indian rural hinterland where 800 million people live. The health-care system, like most others worldwide, has been underfunded for decades, leaving rural areas facing wide-spread shortages of oxygen, tests, medication and worse than all of that, no medical professionals, resulting in a critical care vacuum.
 
The Indian Armed Forces was ordered on Monday to assist in tackling surging new coronavirus infections. The international community is pledging aid to the nation, urgently required. World Health Organization chief Tedros Adhanom Ghebreyesus said of the situation that it is "beyond heartbreaking". The World Health Organization is tasking 2,600 of its own staff to arrive in India alongside supplies, including oxygen concentrator devices.
 
Health workers wearing personal protective equipment carry a patient suffering from the coronavirus disease outside the casualty ward at Guru Teg Bahadur hospital in New Delhi on Saturday. (Adnan Abidi/Reuters)

Lockdowns imposed in Indian cities over the past two weeks in an urgent effort to try to stem the spread of the virus, has seen thousands of migrant workers travel back to their home villages. Some, inevitably carrying the virus back with them. The central government had sent out an urgent message to the hundreds of thousands of migrant workers to remain in place, not to leave, promising that they would be well looked after where they were. That message failed to resonate, obviously.

Perhaps for the simple fact that it has become glaringly obvious that those becoming ill, seriously ill with COVID, cannot find an open hospital bed, and in some instances, the knowledge that deaths caused by a lack of oxygen treatment has reached the ears of migrants who feel they would prefer to take their chances back home, rather than remain where the chances of contagion are higher and that the medical system will be capable of serving them well.
 
People prepare funeral pyres for those who died from COVID-19 during a mass cremation at a crematorium in New Delhi on Monday. (Adnan Abidi/Reuters)

One such example is Thakurtola, a village in t he central state of Chhattisgarth, devastated by COVID-19. A village where the 1,000 residents are subsistence farmers, poor even by Indian standards, with strong family attachments. Its residents have experienced a wave of grief, the entire village overcome with sadness and regret at the deaths it is experiencing. 

One of the village's residents returned in early April from Nagpur where he worked, and had left when it was placed under lockdown. Returning home to Nagpur, he complaned of a severe cough and flu-like symptons, swiftly becoming more serious.When his family brought him to the village doctor, "He started saying that there was no need for a COVID-19 test and just to take medicines, like paracetamol", his brother said.
 
People wait their turn to get tested for COVID-19 in Hyderabad, India, on Sunday. After having largely tamed the virus last year, the country is in the throes of the world’s worst coronavirus surge and many of the country’s hospitals are struggling to cope with shortages of beds, medicines and oxygen. (Kumar A. Mahesh/The Associated Press)

The village doctor, like two thirds of doctors in rural India, had no formal training as a physician, no medcal qualifications whatever. The man began gasping for air overnight but there was no oxygen supply in the village. "His death came like a storm, everything happened so quickly", his brother Ramesh said. The village had no testing kits so it could not be confirmed that the man had COVID. When officials, however, sampled 48 people the man had been in contact with, 25 tested positive for     COVID.

Taking into account the shortage of testing kits and delays, the interpretation is that most deaths remain unrecorded, with the actual daily toll estimated to be at least twenty times higher than official figure of 195,123. The epidemic in its furious pace and outcome is believed to be driven by new, more contagious variants.

People wearing protective face masks wait to receive a COVID-19 shot at a vaccination centre in Mumbai on Monday. (Niharika Kulkarni/Reuters)
 

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