Africa can expect new spikes in COVID-19 every six months, a report by the Tony Blair Institute for Global Change. The continent with its low vaccination rates could continue to be vulnerable. Credit: USAID/South Africa

By Samira Sadeque
New York, Mar 11 2022 (IPS)

Countries on the African continent have a pattern of a six-month break before a new COVID-19 spike happens, researchers at the Tony Blair Institute for Global Change have said in a newly released report.

Marvin Akuagwuagwu, a data analyst in the Africa COVID-19 Policy unit at the Institute, told IPS that it’s the countries with the lowest vaccination rate that are most at risk.

According to data from the African Union CDC, the Central African Republic, South Sudan, and Chad are among the countries with the lowest percentage of the vaccinated population – some as low as less than one percent.

These other countries on the continent can learn from Rwanda’s approach, which Akuagwuagwu said is a success story.

“Rwanda has significantly ramped up its vaccination and testing programmes which has reduced their case numbers and the overall impact of COVID-19,” he said.

“With their vaccination rate at almost 60 percent and a positive case rate of less than 10 percent, Rwanda is a good example for other African countries to emulate, particularly for countries in Sub-Saharan Africa that face similar challenges.”

However, vaccine rollout isn’t an issue of supply but a result of wealthier countries withholding supplies, contributing to a grave vaccine inequity. Africa has received six percent of the world’s vaccines, despite the continent hosting seventeen percent of the world’s population, according to the Brooking’s report.

And this only exacerbates the pattern that Akuagwuagwu and his co-author Adam Bradshaw discovered in their report.

Excerpts from the interview follow.

Inter Press Service (IPS): You mentioned there is a pattern of a new wave hitting Africa roughly every six months. How does this affect the continent of Africa specifically?

Marvin Akuagwuagwu (MA): We identified a trend that about every six months, a Covid-19 wave impacts Africa. This was the case with Beta, Delta, and Omicron.

Omicron was like a flash flood – it did some serious damage but thankfully didn’t lead to mass deaths. However, we may not be so lucky next time – the next variant may be more severe, especially in countries with low levels of protection, such as in Africa.

This means we now have a six-month window of opportunity to vaccinate Africa against Covid-19 before the next variant appears – we need to make progress towards achieving the WHO target of vaccinating 70% of the population. TBI is working with a number of countries across Africa to support their vaccine rollout to help get there.

IPS: Why do you believe lockdowns are being approached more cautiously and are “not always the best course of action”?

MA: Lockdowns are effective, but they are not always the best course of action to tackle Covid-19 due to their negative economic and social impacts.

As the virus evolves and we learn more, countries in Africa are gradually moving away from blanket lockdowns. We now have a range of tools in the toolbox to tackle Covid-19 and lockdown is only one of many options.

When the pandemic first started, no one had ever been exposed to Covid-19 – now billions of people have been infected or vaccinated, so it’s a different ballgame, and we need to adapt with it.

IPS: With the six-month window between variants, are there spill-over effects? (For example, even though Omicron wasn’t as bad as Delta, were any Delta effects that spilled over to the phase where Omicron was present)?

MA: The low testing and vaccination in Africa during the Delta wave spilled over to the Omicron wave. African countries have just started ramping up their vaccination and testing programmes, which were significantly lower in the Delta wave.

Without a continued acceleration of vaccination programmes, Africa will remain behind other regions in vaccination rates. International actors, donors, and partners should listen and respond to African countries to adequately support their vaccination and community engagement programmes and enhance their data management systems and associated human resources required.

IPS: How does the current financial inflation affect the measures you’ve proposed?

MA: The current financial inflation impacts the measures we have proposed as they require adequate funding. However, strong political will and community engagement are catalysts to enhancing these measures and curbing health and social inequalities caused by the pandemic.

IPS: One of the recommendations suggests: “increase testing and genomic sequencing to reduce transmission.” How many countries have the economic capacity and manpower to ensure this? How realistic is this goal?

MA: We understand that this is a significant challenge for low- and middle-income countries, but the alternative is far worse – serious illness, lockdowns, and deaths which also affect the economy and society at large.

It goes back to global cooperation – the Tony Blair Institute for Global Change is working in Africa to build long-term resilience in data, vaccine, and testing infrastructure and provide greater institutional strength to withstand future Covid-19 waves. We support governments to build their capacity and deliver for their populations.

We are calling for global leadership to develop a global pandemic plan to support the Global South to vaccinate their populations and increase testing.

IPS UN Bureau Report

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Delivery of syringes for the vaccination campaign in El Salvador. Latin American countries have made steady progress in immunizing their populations, partly through direct negotiations between their governments and suppliers and partly through international cooperation. CREDIT: PAHO

By Humberto Márquez
CARACAS, Jan 20 2022 (IPS)

The Covax initiative, the hope of the countries of the developing South to immunize their populations against COVID-19, only met half of its goals in 2021. And as 2022 begins, and the omicron variant of the virus is spreading fast, the scheme still depends on the decisions of pharmaceutical companies and the goodwill of donor governments.

José Manuel Durão Barroso, president of the Gavi Vaccine Alliance, one of the entities leading the Covax initiative, warned at the outset that “as long as a large part of the world’s population is unvaccinated, variants will continue to emerge and the pandemic will drag on.”

“We will only prevent variants from emerging if we are able to protect the entire world population, not just the rich areas,” added Durão Barroso, former prime minister of Portugal (2002-2004) and former president of the European Commission (2004-2014), in an email interview with IPS.

Covax, a global access fund for COVID-19 vaccines established in April 2020 as an alliance of countries, multilateral organizations and private foundations, had brought together 184 countries by October that year and set out to procure and distribute hundreds of millions of vaccines against the disease equitably in countries of the developing South.

Under the scheme, one group of countries self-funds and pays for the vaccines sent to it by Covax, while another, the poorest, are to receive the immunizations free of charge.

Shortly after the first vaccines were applied in industrialized countries in late 2020, an encouraging first shipment of 600,000 doses of the British Oxford-AstraZeneca vaccine arrived at the international airport in Accra, Ghana, the first country to benefit from the Covax mechanism, on Feb. 24, 2021.

The initiative was launched to distribute and apply, in more than a hundred countries, two billion doses throughout 2021, to ensure equitable immunization of 40 percent of the world’s population, before reaching 70 percent in the first half of 2022 – figures aimed at curbing the pandemic"As long as a large part of the world's population is unvaccinated, variants will continue to emerge and the pandemic will drag on. We will only prevent variants from emerging if we are able to protect the entire world population, not just the rich areas." -- José Manuel Durão Barroso

But disaster lurked around the corner. India was hit by a sudden, devastating wave of COVID-19 infections, and the overcrowded country stopped exporting vaccines. And the Serum Institute of India (SII), the world’s largest vaccine manufacturer, was to be the source of the vaccines for the Gavi-Covax mechanism.

While high-income countries such as the United States, Canada, European nations and Israel purchased large quantities of vaccines from pharmaceutical transnationals, sometimes in excess of their populations, it was logical for Covax to seek supplies from India’s SII, where doses were also cheaper.

A dose prepared by the SII could cost three dollars, compared to 50 or 100 percent more in a Western pharmaceutical company.

Thus, while its recipients in the South awaited vaccines under great pressure from their local populations, Covax had to announce in April and May that there would be delays, which occurred in the following months, placing many countries in an uncertain and impotent wait while the virus variants raged.

By early January 2022, the number of infected cases exceeded 300 million worldwide and deaths surpassed 5.5 million, with two populous countries in the South, India and Brazil, following the worst-hit country in absolute numbers: the United States.

Instead of two billion doses, Covax distributed less than half of that – 900 million – throughout 2021. And as of November 2021 it had delivered less than 600 million doses, although it reached 900 million thanks to donations of 310 million doses in December.

What went wrong?

Durão Barroso explained that “the unfortunate epidemiological situation in India, combined with the fact that only a few vaccines had received the WHO emergency use listing and were available for global supply at that time, significantly delayed the launch of Covax.”

This situation “together with export restrictions, the hoarding of vaccines by many richer countries, and manufacturers who do not prioritize vaccine equity, meant that we could not access as many doses as we expected in the second and third quarters of the year,” added the head of Gavi.

When the race against the clock for vaccines began, “many governments in high-income countries made reference to global solidarity,” so that all nations would have access to immunizations, recalled Kate Elder, senior vaccines policy advisor at the humanitarian organization Médecins Sans Frontières (MSF).

“Pharmaceutical companies said they would do their part to ensure that the mistakes of the past were not repeated and that it was not just high-income countries that would have access to medical innovations,” Elder said in her response to a list of questions from IPS.

“However, this did not happen and calls to move away from the business-as-usual approach were ignored. High-income countries started buying up COVID-19 vaccine doses even before they were available,” she said.

The corporate behavior contradicted earlier assertions that antiviral vaccines should be global public goods, and pharmaceutical corporations, as in other circumstances in the past, prioritized sales to the highest bidder and sought primarily their own financial gain, according to MSF.

Donations arrive

The result of the first few months was that Covax only delivered one million doses in February 2021, 23 million in March, 15 million in April, and 30 million in May. From early on it was clear that reaching the goal of two billion doses in 10 months was impossible.

Confidence in vaccine delivery mechanisms, and in immunization itself, eroded, for example in Gambia, Namibia or Nigeria in Africa, or in Afghanistan and Pakistan in Asia. Anxiety also escalated because, having received the first dose of a vaccine, people demanded the second even more loudly

The first shipment of vaccines by Covax to a developing country arrived at the international airport in Accra, Ghana on Feb. 24, 2021. CREDIT: Krishnan/Covax

The countries of the developing South then began or intensified their search for vaccines outside of Covax. And, in parallel, some made progress in the production of their own vaccines, as was the case of Saudi Arabia, India and Singapore in Asia, Egypt in Africa and Argentina, Brazil, Cuba and Mexico in Latin America.

In the second half of 2021, donations began to appear, like a lifeline. Rich countries, having vaccinated large segments of their population and with vaccines or supplies such as syringes available, began to donate, often under the Covax umbrella, millions of doses to countries in the developing South.

Donor countries have so far offered Covax 591 million doses to be delivered in 2021 and the first half of 2022, and the scheme has sent 259 million doses to recipient countries, which partially explains the acceleration of deliveries in November (155 million) and December (310 million) 2021.

The main donors to Covax have been the United States (145 million doses), a group of 16 European Union members (81 million), the United Kingdom (11.5 million) and Canada and Japan (8.4 million doses each).

However, in some cases the doses arrived very close to their expiration date – or with a shortage of syringes or freezers to preserve them, as in Somalia and East Timor – forcing them to be discarded or sometimes sent back, as happened in the Democratic Republic of Congo and South Sudan.

The road ahead

Covax, in Elder’s view, was “naively ambitious,” and its success “was tied to unsound assumptions. Foreseeable challenges were not factored into the design of the mechanism and some poor policy decisions were made.”

“From its design to its governance and accountability mechanisms, the exclusion of meaningful participation of key stakeholders has undermined Covax’s ability to succeed,” the MSF vaccines policy expert argued.

The hoarding of vaccines and medicines by high-income countries has already happened on other occasions, such as during the HIV/AIDS epidemic or with regard to access to vaccines against pneumococcus, human papillomavirus or rotavirus.

For Elder, “if we want to learn from this experience to improve access to vaccines, the first step is to make a radical change. This basically means making the technology and innovation of medical tools public to guarantee an equitable model and decentralize production.

“Technology born of public investment cannot be owned by corporations, it must be a global public good,” she said.

In addition, “it is necessary to strengthen multilateral organizations and regional platforms, since each region knows best what its needs are, instead of public-private alliances based on the goodwill of pharmaceutical companies, which, at the end of the day, we already know what their interests are going to be.”

Durão Barroso said that Covax “has reached a point where it can now meet the demand of the countries it serves. However, there is a real risk that the supply disruption will continue in 2022.”

So “we have asked manufacturers to be more transparent about when they will make doses available, and from donor governments we have asked for larger and more predictable donations. This is finally happening,” added the head of Gavi.

Durão Barroso stressed that in the face of the spread of different variants “it is absolutely critical that we avoid a scenario of vaccine nationalism 2.0, where rich countries immobilize the supply of new vaccines.

“We depend on countries’ commitment to multilateralism and manufacturers’ commitment to transparency to ensure that we don’t fall behind again,” he stated.

African Risk Capacity Group Director-General and United Nations Assistant Secretary-General Ibrahima Cheikh Diong. Credit: ARC

By Alison Kentish
DOMINICA, Sep 7 2021 (IPS)

The world faces multiple crises: climate change, extreme weather events, food security and biodiversity. For African nations, these issues are compounded by the COVID-19 pandemic and epidemic outbreaks that include Rift Valley Fever and Malaria. With 35 African Union Member States as signatories to its establishment Treaty, the African Risk Capacity (ARC) Group – comprising of ARC Agency and ARC Limited – works with Governments to help improve their capacities to better plan, prepare, and respond to extreme weather disasters and natural disasters.

By building smart partnerships and promoting an anticipatory financing approach, ARC enables countries to strengthen their disaster risk management systems and access rapid and predictable financing when disaster strikes to protect the food security and livelihoods of their vulnerable populations.

Since 2014, the Group, through its commercial affiliate, ARC Limited, has provided USD $720 million in risk coverage against drought and made over USD $65 million in payouts to enable an early response to these extreme weather events thereby protecting 65 million people in participating Member States. Being demand-driven in its products offering, the Group has recently diversified its offerings to include Tropical Cyclone and is currently finalizing the development of a Floods product. This is in addition to its ongoing work in Outbreaks and Epidemics targeting four pathogens including Ebola, Marburg, Meningitis and Lassa Fever. The development of a Flood Risk Model is in an advanced stage in collaboration with the International Business Machines Corporation (IBM) to ensure that it is offered as a world-class tool for building Member State resilience.

As the United Nations gears up for the September 23 Food Systems Summit – a crucial event that seeks to secure action to transform food production, packaging and distribution, as well as provide solutions to the climate, biodiversity and hunger crises, tackling the threat of drought will be a cornerstone of the discussions. 

In this regard, ARC is ahead of the curve. Using its cutting-edge tool, the Africa RiskView, the Group provides season monitoring, and early warning services to decision-makers on the likely impacts of natural hazards profiled for their countries. This software also estimates the impact of a disaster, estimating the number of people affected, and the associated response costs. It is, therefore, an important tool in enabling the ARC mandate of helping governments proactively manage disaster events and tackle food insecurity.

“The model ensures that governments, using data sets and information, are able to anticipate the probability of a drought or a tropical cyclone event, therefore enabling early-action to protect lives and livelihoods of communities at risk”, ARC Group Director-General and United Nations Assistant Secretary-General Ibrahima Cheikh Diong told IPS.

He also added that “we are also looking at extreme weather conditions and exploring the possibility of raising money from capital markets in order to avail additional financing for adaptation or mitigation as well”.

The ARC Group Director-General is scheduled to speak on food systems transformation during the United Nations General Assembly. He hopes to steer the discussion away from a singular focus on food reserves and urge the world to explore options to provide additional financial resources to African countries to help them directly address food security and sustainable livelihoods.

“If we look at African countries, many are heavily dependent on rain-fed agriculture – I’d say almost 80 percent. Some farmers tend to be quite exposed to the lack of rain, or too much rain in some cases, and this creates additional risk among smallholder farmers.”

“In addition to having some solid irrigation systems to ensure more controlled agriculture, it is equally important to consider parametric insurance, as an innovative risk transfer mechanism to help Africa to be more resilient.”

By participating in ARC risk pools, Member States have access to rapid liquidity in the immediate aftermath of a severe insured disaster. This is critical in not only enabling response but in complementing food reserves.

The ARC business model is multi-dimensional, providing technical assistance through early warning and contingency planning tools, as well as risk transfer services. Such an approach relies heavily on innovative science and research and development, enabling a tailored offering to meet the needs of member states and the climate realities of each.

“It’s not just about the product that we offer from a research and development perspective. It is also about making sure that once the offer is clearly defined, we are able to provide the necessary capacity building to our Member States, so they are empowered with the skills and knowledge required to deal with natural disasters,” Diong said.

“Given the fiscal constraints faced by many African governments, one of our key initiatives has been the mobilisation of resources to provide premium support to countries in need of financial assistance. Accessing this funding allows countries to increase their coverage and be able to reach more people in the event of a disaster.”

As the risk insurer prepares to launch its Outbreaks and Epidemics product to the market, it is excited to be able to provide African countries with disease outbreaks early warning systems and response. The continent continues to suffer from outbreaks such as the Ebola Virus, Meningitis and Malaria.

ARC is also supporting efforts towards the first COVID-19 vaccine manufactured in Africa.

“As an institution, we are not involved in the manufacturing of vaccines, but we are in advanced discussion with an institution in Senegal called the Institut Pasteur de Dakar, which is trying to manufacture vaccines, not only for Senegal but for Africa as a whole,” said Diong. “We are partnering with them by making sure that we can provide the necessary capacity building as they produce a vaccine which will go a long way in protecting the vulnerable communities in our Member States.”

Acutely aware that women are disproportionately impacted by climate change and disasters, Diong confirms that the Group’s activities are grounded on gender equality. As such, ARC has dedicated resources and training staff in gender mainstreaming and ensuring that the ARC programme always considers the gender perspective. Recently, the Group, together with the African Union, launched a Gender Disaster Risk Management platform that focuses on sustained advocacy and the importance of research & development, training, policy dialogue, resource mobilisation and knowledge management to advance gender in Disaster Risk Management in Africa.

Lastly, “I think the message I want to convey is that Africa is not lagging behind. Disasters do not discriminate. It is important to anticipate disasters as this allows each nation to come up with necessary measures and mechanisms to deal with disasters before they occur,” Diong told IPS. “As an organisation, together with partners, we are on a journey to ensure that we can make Africa more resilient, be able to adapt to the impacts of climate change and mitigate the damages caused.”

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Dominican Farmer and Vendor Ayma Louis has COVID restrictions and the hurrricane season to contend with. Credit: Alison Kentish (IPS)

By Alison Kentish
DOMINICA, Aug 31 2021 (IPS)

Around 2 pm on August 18, 89-year-old farmer Whitnel Louis and his wife Ayma began packing up their unsold produce, hoping to leave the capital of Roseau and get home way ahead of the 6 pm curfew recently put in place to curb the spread of the COVID-19 virus.

Their pickup was among dozens that lined the Dame Mary Eugenia Charles Boulevard, known by locals simply as ‘the Bayfront,’ a wide street near the ocean with a cruise ship berth, sea defense wall and a docking port that pre-COVID would receive passenger vessels from neighboring islands.

During the three-week curfew period, farmers were permitted to sell their produce along the Bayfront for a few hours every day.

“The curfew was necessary but it was rough. Look at the sun, the heat we are taking. When it’s raining and windy it’s worse. It’s a challenge. We can’t ship our produce overseas like before. The vendors who buy from us to resell want to give us next to nothing for the produce, forgetting all the hard work that goes into farming,” Louis told IPS.

While the farming couple is dealing with the impacts of measures to curtail the spread of COVID-19, the present hurricane season is anxiety-inducing. The Louis were hard hit by two weather systems in the last six years. In 2015, during Tropical Storm Erika, a river burst its banks and raged through their home, destroying all their belongings. In 2017 category five hurricane Maria destroyed their farm.

“Everything was down. Pears, mangoes, coconuts. I had five sheds and the hurricane ripped them apart. Wood was flying everywhere. Today, I still don’t have a single shed on my farm, because I do not have the money to rebuild,” Louis told IPS.

Ahead of the annual hurricane season, the country’s Prime Minister Roosevelt Skerrit referenced the dual challenge facing small island states in the Caribbean.

“Hurricane Season is here amid a COVID-19 pandemic. To be safe during the season, I suggest you all prepare a COVI-CANE supply kit,” he stated in a social media post.

Residents were urged to follow guidelines that included having a traditional hurricane preparedness bag with adequate supplies to last at least three days, along with a COVID-19 kit with gloves, masks, hand sanitizers and rubbing alcohol.

The messaging, tailored for a time when the country might have to deal with two major crises, mirrored the instructions and operations of the Office of Disaster Preparedness.

“Where we were at this time last year to where we are now, we have a lot more information and we have made some advancements, so all notices and public announcements have included current COVID-19 messaging, reminding Dominicans that even as we prepare for hurricanes, remember that COVID-19 is still around and we must take all necessary precautions to protect lives,” Programme Officer at the Office of Disaster Management Mandela Christian told IPS.

The pandemic has spared no sector and the disaster preparedness official said the department is using technology to continue its work.

“A lot of the old preparations were done face to face including meetings and training to prepare for upcoming hurricane seasons. With this pandemic, one of the key management protocols is physical distancing. It changes things, for example, if we get impacted, we would have had to convene the National Emergency Operation Centre and bring people into a central location. This has to be reformed and restructured. As far as possible we have transitioned to virtual sessions,” Christian said.

“There are some limitations for example in rescue operations. You can’t remotely rescue somebody and there will be times to deliver relief supplies to the population. What we have been doing is reviewing protocols, informed by health systems, not just nationally, but also regionally and internationally,” the disaster official told IPS.

Dominica, like countries the world over, has been promoting vaccination as one of the best safeguards against the pandemic and to avoid a mass outbreak of COVID-19 in the event of a natural disaster.

The country has seen a recent surge in positive cases and in August, recorded its first COVID-19 related death.

“I am confident. For myself, for my family and everyone that vaccination works. I am not saying that it is 100 percent effective, or bulletproof, but it works in reducing transmission and the severe disease form of COVID-19. I am appealing to those still waiting and deciding – it’s time to get vaxxed,” National Epidemiologist Dr Shalauddin Ahmed told an August 24 press briefing.

It is a plea that health officials throughout the hemisphere continue to make.

Director of the Pan American Health Organisation (PAHO), Dominican Dr Carissa Etienne has expressed concern over the slow vaccine uptake in Latin America and the Caribbean.

Just about 18 percent of people in the hemisphere have been fully vaccinated against COVID 19.

“What we are seeing now is persons totally relaxing on the public health measures and a high level of vaccine hesitancy,” Etienne  told a press briefing. “Even when vaccines are available, persons are not coming forward. We are seeing vaccine hesitancy in healthcare workers.”

“I don’t know the sources of the information that is triggering this level of vaccine hesitancy. I can tell you that they are not scientifically proven, and I want to appeal to you to listen to the sources where you have truthful, scientifically based information and evidence,” she added.

PAHO’s suggested measures for a ‘COVICANE’ season include evacuation and emergency shelter plans that factor in physical distancing and rigorous sanitization – along with mass vaccination campaigns.

Dominica’s curfew has been lifted and farmers like Whitnel Louis can sell their produce for longer hours – as long as they adhere to the strict public health and safety protocols.

But with an average of 80 cases a day over the past week and continued appeals for thousands more people to embrace vaccination, COVID-19 concerns are far from over.

“There is no good sign in sight,” said Mr Louis, as he reflected on his series of losses to natural disasters and the present challenges in a pandemic that has left no sector untouched.

“I’m hoping the Lord spares us this hurricane season.”

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Vaccine access negotiations are at critical juncture. While many countries support the intellectual property rights waiver, including the European parliament the European Union does not. Credit: PAHO/Karen González

By Lyndal Rowlands
Melbourne, Australia , Aug 30 2021 (IPS)

A committee that has spent almost a year negotiating the terms of a temporary intellectual property waiver for Covid-19 medicines will reconvene in September after pausing for the European Summer.

As new variants spread rapidly around the world, the deadlock in the World Trade Organization Trade-Related Aspects of Intellectual Property Rights (TRIPS) Committee has potentially further delayed access to vaccines and other medicines for billions of people in low- and middle-income countries.

The waiver, initially proposed by India and South Africa in October 2020 has attracted sponsorship and support from several other countries. After widespread campaigning, the United States added its support in May. Yet, while the European parliament also backs the proposal, the European Union does not, in part due to continued opposition from Germany, which is home to a substantial pharmaceutical industry.

The decreasing number of countries holding out from supporting the waiver continued to stall negotiations right up until they paused at the end of July. This is even though the waiver is only being put forward as a temporary measure until the pandemic is under control.

Leena Menghaney, the head of Médecins Sans Frontières Access Campaign in South Asia told IPS that the countries that proposed the waiver are asking for the right to produce their own medicines and vaccines.

“Many middle-income countries have the technical capacity to also produce Covid-19 medicines and vaccines,” said Menghaney, adding that opponents to the waiver are using arguments that ignore the technical capacity that many countries already have to produce generic medicines.

“It smacks of colonial baggage to say that you’re not ready for this,” says Menghaney. “What countries want is the right to produce these medicines and vaccines.”

This is not the first time that the strict TRIPS rules for medicines have come under the microscope.

The current intellectual property system has also added to the inequality in access to Tuberculosis medicines, contributing to the emergence of new multi-drug resistant variants that threaten to even further prolong one of the world’s most unequal epidemics.

“The intellectual property system doesn’t really distribute the outcomes of science very well. It’s not a system where people are equally able to access the outcomes of research”, said Menghaney. “Governments have been funding research, but the outcomes of research are not equitably distributed,” she added.

“Many times this research actually has its genesis in public labs, the riskiest part of research for HIV, Hepatitis C and now Covid-19 has happened in public labs.”

The strict barriers to intellectual property imposed by TRIPS have also been challenged before by South Africa when millions of people were dying because they could not afford expensive new treatments. Winnie Byanyima, Executive Director of UNAIDS, is one of many supporters of the TRIPS waiver alongside World Health Organization (WHO) Director-General Dr Tedros Adhanom.

“We cannot repeat the painful lessons from the early years of the AIDS response, when people in wealthier countries got back to health, while millions of people in developing countries were left behind,” Byanyima has said in support of the waiver.

To date, developing countries have found that their efforts to purchase vaccines have been plagued with difficulties, unfair prices and secretive deals. Anis Chowdhury former Director of Macroeconomic Policy and Development Division of the United Nations Economic and Social Commission for Asia and the Pacific told IPS that even sharing of the Astra Zeneca vaccine has not proven easy even though the researchers who developed the vaccine at Oxford University promised that they would not make a profit from the vaccine while the pandemic continued.

“The issue is all these agreements are very non-transparent. And in this case, the parent company dictates almost all the conditions including who could be the distributor of this drug or vaccine, what price you charge, and to which customer,” Chowdhury told IPS.

Both South Africa and India have found themselves tied up in complicated deals meaning they have little say over who they sell vaccines they make to or where they can buy their own supplies from. So far, European countries have been able to secure lower prices for the Oxford/AstraZeneca vaccine than many low- and middle-income countries.

While vaccine waiver negotiations have languished, global efforts to address vaccine inequality have rested on the COVAX facility, convened by the WHO. Yet, Chowdhury, who is also Professor of Economics at Western Sydney University, told IPS that “from the start, COVAX was designed to fail.”

As Chowdhury told IPS, COVAX was put forward as an alternative by rich countries “because the pharmaceutical industries refused to join” C-TAP a WHO proposal to increase knowledge sharing of Covid-19 technologies between countries on the same day it was launched back in May.

Yet, although Dr Adhanom says that 11 billion doses are needed to end the pandemic, COVAX has only managed to put together a small proportion of its modest goal of two billion doses of vaccines, and even this small pool of vaccines is yet to reach countries that need it most since rich countries – Canada, Australia, New Zealand and the UK – have been buying up vaccines from COVAX as well. And COVAX is unlikely to attract enough donations, as even the World Health Organization continues to struggle to attract funding in the midst of the pandemic.

As Chowdhury points out “powerful countries” have been cutting the UN’s budget “right and left for so many years.”

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Local residents stand in the water on a street flooded by the sea in the Centro Habana municipality in the Cuban capital in September 2017 in the wake of Hurricane Irma, one of the most intense storms in recent decades in this Caribbean island nation. CREDIT: Jorge Luis Baños/IPS

By Patricia Grogg
HAVANA, Aug 25 2021 (IPS)

Cuba, already beset by hurricanes, floods, droughts that deplete its main water sources, among other natural disasters, has seen its socioeconomic difficulties, similar to those faced by other Caribbean island nations, aggravated by the COVID-19 pandemic.

Despite the complexity of its domestic situation, Cuba has offered its best health resources to small island nations in the region and more than a dozen of them have received Cuban medical brigades to help them face the emergency created by the pandemic.

With differences and similarities, the Caribbean region shares the fate of other Small Island Developing States (SIDS), which are particularly vulnerable to the impact of climate change but are responsible for only 0.2 percent of the carbon dioxide (CO2) emissions that cause global warming."For Cuba and the rest of the Caribbean island nations the greatest challenges in relation to the implementation of the 2030 Agenda involve the indispensable creation of measures for adaptation to climate change." -- Marcelo Resende

The SIDS will hold a Solutions Forum on Aug. 30-31, promoted by the United Nations Food and Agriculture Organisation (FAO) and sponsored by Fiji, to exchange experiences on how to move forward in the midst of the climate and health crisis towards achieving the Sustainable Development Goals (SDGs) in just a few more years.

The virtual conference is based on the premise that the 38 SIDS that are members of the United Nations and the other 20 associated territories, beyond their differences in size and development, share common challenges as island nations and can also share successful sustainable management initiatives that can be replicated in the other members scattered throughout the developing regions of the South.

“SIDS are characterised by unique development needs and extreme vulnerability. Frequent exposure to hazards and natural disasters intensified by climate change” negatively impacts Cuba, as well as the rest of the countries, FAO representative in Cuba Marcelo Resende told IPS.

He said this Caribbean country “has a lot of expertise and know-how in the integration of environmental sustainability, disaster risk management and climate change adaptation, so this exchange and transfer of knowledge will be positive.”

The SIDS Forum aims precisely to promote and exchange innovation and digitalisation solutions for sustainable agriculture, food, nutrition, environment and health.

Cuba, the largest island in the Caribbean, faces increased frequency and intensity of extreme hydrometeorological events – not only tropical cyclones, but also drought, major floods, rising temperatures and sea level rise, which scientists currently project to reach 29.3 centimetres by 2050 and 95 centimetres by 2100.

A man rides his bicycle along a flooded street in the town of Batabanó, in southern Mayabeque province in western Cuba, an area of low-lying, often swampy coastal areas prone to frequent flooding during hurricanes and heavy rains. CREDIT: Jorge Luis Baños/IPS

Of the country’s 262 coastal settlements, an estimated 121 are at risk from the climate crisis. Of these, 54 are located on the south coast and 67 on the north coast, almost totally impacted in September 2017 by Hurricane Irma, which reached winds of 295 kilometres/hour and became one of the most intense storms in recent decades.

Irma devastated several Caribbean islands and in Cuba alone caused losses officially estimated at 13.18 billion dollars.

A prevention system that involves everyone from the government to urban and rural communities makes Cuba one of the best prepared Caribbean nations when it comes to prevention and mitigation of risks in case of disasters, despite the generally substantial economic damages.

In addition to legal measures to prevent human activities that accelerate the natural erosion of areas bordering the sea and the relocation of vulnerable settlements, this year the project “Increasing the climate resilience of rural households and communities through the rehabilitation of productive landscapes in selected localities of the Republic of Cuba” (Ires) began to be implemented.

The “Coastal resilience to climate change in Cuba through ecosystem based adaptation – MI COSTA” project was also created. Both initiatives are supported by the Green Climate Fund, an instrument of the United Nations Framework Convention on Climate Change (UNFCCC).

In addition to boosting the resilience of rural communities and protecting coastal communities, both projects are aimed at generating information that will facilitate the scaling up of the use of ecosystem-based adaptation practices at the national level, and the model can be used in other island nations with similar conditions.

“The impacts that are already being felt today associated with climate variability and the country’s vulnerability imply a large economic burden, which is becoming even more critical given the limitations and difficulties in accessing international financing,” said Resende.

The FAO representative noted that according to the executive secretary of the Economic Commission for Latin America and the Caribbean (ECLAC), Alicia Bárcena, Caribbean SIDS will not achieve the sustainable development committed to in the 2030 Agenda if they fail to find effective ways to adapt to climate change.

“This means that for Cuba and the rest of the Caribbean island nations the greatest challenges in relation to the implementation of the 2030 Agenda involve the indispensable creation of measures for adaptation to climate change,” Resende stressed.

A row of solar panels on La Finca Vista Hermosa farm in Guanabacoa, one of Havana’s 15 municipalities, represents one of the small energy innovations that are part of the responses by some farms in Cuba aimed at making their production more sustainable. CREDIT: Jorge Luis Baños/IPS

Food security, also a priority

Improving sustainability, resilience and nutrition-based approaches to food systems, strengthening enabling environments for food security, as well as empowering people and communities for these strategies are also important challenges.

In this regard, Resende said that “Cuba is impacted by the steady degradation of its natural resources for food production (soil, water and biodiversity), and faces difficulties in the current context for the production, transformation and conservation of food,” which has repercussions on the instability of the physical availability of products in the markets.

For this island nation, which imports most of the food it consumes, these impacts are a challenge, “so the authorities are promoting an agenda of transformations and improvements in terms of supply and inclusive, sovereign and sustainable food systems, in compliance with the 2030 Agenda and as a priority that the country will face in the immediate future and beyond,” he said.

In July 2020 the Cuban government approved a National Plan for Food Sovereignty and Nutritional Education, which identifies as fundamental pillars the reduction of dependence on food and input imports, various intersectoral actions to bolster local food systems, and the mobilisation of educational, cultural and communication systems to strengthen food and nutritional education.

According to the objectives of the Global Action Programme on Food Security and Nutrition in Small Island Developing States, food systems should support local and family production, while providing a sufficient quantity of varied and nutritious quality food for their population, at a reasonable cost.

This transformation can help curb SIDS dependence on imports, as well as promote healthy eating and reduce obesity.

A patient receives the third dose of the Abdala anti-COVID vaccine at a hospital in Havana. Cuba has developed three vaccines against the coronavirus that could be used in other Caribbean island countries once all the steps for their international use have been completed. CREDIT: Jorge Luis Baños/IPS

The resurgence of COVID

The resurgence of the COVID-19 epidemic since late 2020 exacerbated the tension in Cuba’s weakened economy, which had to devote more resources to its hospital system, overwhelmed by the higher number of infections. However, Cuba already has three vaccines of its own: Abdala, Soberana 02 and Soberana Plus.

Authorities on the island have reaffirmed that the national biotechnology industry is in a position to produce by the end of 2021 at least 100 million doses of the vaccines, with which it intends to immunise the entire Cuban population before the end of the year as well as offer them to neighbouring countries, such as other Caribbean SIDS.

As of August 20, 27.8 percent of the island’s 11.2 million inhabitants had received the required three doses of one of the three locally produced vaccines.

On Aug. 11, the director of the Pan American Health Organisation (PAHO), Carissa F. Etienne, said that in the Caribbean, COVID cases have been on the rise in the Bahamas, Cuba, Jamaica, Martinique, Puerto Rico and Dominica – all members of the SIDS with the exception of Puerto Rico.

“In the last month, infections increased 30-fold in Martinique and there was a significant increase in hospitalisations,” she said.

Etienne announced that PAHO would use its Revolving Fund to help countries in the Latin American and Caribbean region acquire sufficient vaccines to curb the spread of COVID-19, on top of the assistance offered by Covax, a global mechanism to support the development, manufacture and distribution of vaccines.

The pandemic has severely impacted tourism, which many Caribbean economies and SIDS in general depend on. According to official figures Cuba’s tourism revenues fell in 2020 to 1.15 billion dollars – a 56.4 percent drop from 2019.

In addition to domestic problems, the tightening of the U.S. embargo is seriously hampering the Cuban economy, which shrank two percent in the first half of this year, after a 10.9 percent decline in 2020. Recovery will depend on curbing the epidemic and the rallying of the tourism industry.

(With reporting by Luis Brizuela from Havana.)

Excerpt:

There are calls to include migrants and other vulnerable groups in the vaccine rollout programmes in the Southern Africa region. Credit: UNICEF/Nahom Tesfaye

By Kevin Humphrey
Johannesburg, South Africa, Aug 23 2021 (IPS)

Migrants across the Southern Africa region are massively disadvantaged as they find themselves excluded from vaccine programmes – even when the global vaccine initiative COVAX often funds these programmes.

This is the latest in a long list of struggles migrants have experienced since the start of the COVID-19 pandemic. Migrant is a catch-all word that includes a diverse set of people, including non-citizens, asylum seekers, refugees and those who have acquired permission to dwell in the country they have settled.

However, vaccines are just one of the issues faced by migrants. Border shutdowns, travel restrictions and lockdowns have severely restricted large swathes of the region’s economic activities. Relationships between friends, family and social, religious, and other groups have also suffered.

Experts believe that ending the pandemic can only be achieved if vaccines are available in all countries – to all populations, including refugees and displaced people fleeing conflict and other crises – but this regional cooperation is not yet on the region’s agenda.

“In terms of the Southern African region, we are currently not seeing a conversation in place around a regional response,” Public health researcher and Associate Professor and Director of the African Centre for Migration & Society at the University of the Witwatersrand, South Africa, Jo Vearey told IPS.

“In a region of such high levels of population mobility, we need to ensure that our response to COVID-19, in access to vaccinations and testing and other related issues, can reflect the forms of movement that people undertake in the region.”

The Southern African Nationality Network (“SANN”) has called on governments in the South African Development Community (SADC) region to ensure all have access to vaccines. The group advocates for equitable treatment for vulnerable groups such as refugees, asylum seekers, internally displaces persons, undocumented persons, and stateless persons. They also asked authorities to “enable irregular migrants, undocumented persons and stateless persons to access health care without fear and risk of arrest or detention”.

Vearey agrees, saying that “if a person is in a location other than their normal place of residence, we need to ensure that they can access vaccines easily and safely regardless of documentation status. We need firewalls to be in place – where the firewall acts as a legal provision so that undocumented people have no fear of penalty should they be accessing COVID services”.

She says extraordinary measures were needed. National departments of health, home affairs, foreign affairs, and the Southern African Development Community (SADC) should ensure a smooth and inclusive rollout.

“There are, however, questions about the capacity of the SADC structures,” Vearey says.

“There are also issues around how we respond appropriately to the myths and assumptions around the movement of people. We know foreign nationals tend to be scapegoated and blamed for various issues. There is also the issue of giving out numbers of foreign nationals in a given country, particularly South Africa, often inflated. We know that immigration, in particular, is a heavily politicised issue. Some political leaders make use of rhetoric to blame foreign nationals for failures in delivery by the state.”

It was time to set aside differences, and there was no place in this pandemic for xenophobia.

“This is a pandemic, it affects everyone, and obviously, a pandemic by definition doesn’t respect borders, doesn’t care who someone is. It works by moving from person to person. Unless we effectively break that train of transmission, we won’t get a grip on the pandemic and will probably see more variants emerge, which will lead to more ill-health and fatalities,” Vearey says.

“It will also mean a further impact on people’s livelihoods because of more lockdowns and restrictions. Migrant labour is so important in the region through various forms of employment, both formal and informal. Particularly in the sectors of mining, agriculture and construction work. The sooner we can get everyone vaccinated, the sooner we will return to some semblance of normality.”

Traditional forms of migrant labour in the region were established during the minerals super boom in South Africa during the colonial era. Kicked off by the discovery of diamonds (1867), a handful of mining magnates accumulated enough capital to develop deep level gold mining on the Witwatersrand (1886) which is now part of modern-day Gauteng province. This history still exerts massive influence and attracts people with expectations of jobs and business opportunities.

Covid 19 has interfered significantly with these economic crosscurrents.

Senior economist at Trade and Industrial Policy Strategies (TIPS), Dr Neva Makgetla, former lead economist for the Development Planning and Implementation Division at the Development Bank of Southern Africa, among many other roles, told IPS significant impacts of the pandemic were on tourism and mining.

“International and regional tourism has collapsed, and mining has seen a run-up in prices. According to the World Bank, tourism accounted for 9% of South African export revenues in 2018, which is a real blow.

Mira Gaspar outside her studio in Kempton Park, South Africa talks about the devastating impact of COVID-19 on her and her business. Credit: Kevin Humphrey

“The recovery will depend above all on the rollout of vaccinations, which has made good progress but is expected to reach the majority of adults only toward the end of 2021,” Makgetla said.

“The loss of tourism revenues has, however, to date been offset by mining prices, which rose to 2011 levels this year. The question, of course, is how long they will remain so high; the answer depends in part on monetary policy in the global North, and in part on Chinese growth prospects.”

Down at street level, Mira Gaspar, a single mother (originally from Mozambique but now, after many years of struggle, has a South African permanent resident status), tells of her earth-shattering experiences since the COVID-19 Tsunami hit the world and her neck of the woods.

“I had managed to open up a hair salon in a part of Kempton Park where I did not have too much competition. I basically had a reasonably sized area where I was the nearest salon. It was not easy to establish the business, but I did manage to build a steady clientele of women and girls and even went into men’s hair. I added to my income by working with a close friend to import and export items between Johannesburg and Maputo,” Gaspar said.

She sold hair extensions – and even prawns from Mozambique to make a living.

“It was hard, but it worked. COVID wrecked it. The big lockdown took my salon. The border closures took my import-export business. Now I am slowly trying to pick up the pieces, but I have used any money I had for my daughter and me to survive during this time. It is hard, but God will help us through this time.”

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