Vaccines and oxygen run out as third wave of Covid hits Uganda

Vaccine thefts reported and hospitals unable to admit patients as cases leap 2,800% in a month

Uganda has all but run out of Covid-19 vaccines and oxygen as the country grapples with another wave of the pandemic.

Both private and public medical facilities in the capital, Kampala and in towns across the country – including regional hubs in Entebbe, Jinja, Soroti, Gulu and Masaka – have reported running out or having acute shortages of AstraZeneca vaccines and oxygen. Hospitals report they are no longer able to admit patients to intensive care.

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‘They stormed the ICU and beat the doctor’: health workers under attack

From Brazil to Myanmar, five doctors and nurses treating coronavirus patients share their experiences

Since the pandemic began, healthcare workers have been venerated for treating patients with Covid-19, but they have also been attacked for doing their job.

Five doctors and nurses treating coronavirus patients, some of whom asked to be kept anonymous, recount their experiences.

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Spat at, abused, attacked: healthcare staff face rising violence during Covid

Data shows increased danger for those on the frontline in the pandemic, with misinformation, scarce vaccines and fragile health systems blamed

Hundreds of healthcare workers treating Covid patients around the world have experienced verbal, physical, and sometimes life-threatening attacks during the pandemic, prompting calls for immediate action from human rights campaigners.

Covid-related attacks on healthcare workers are expected to rise as new variants cause havoc in countries such as India and rollouts of vaccination programmes belatedly get under way in some countries, according to the UN special rapporteur on the right to health.

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MPs tell Johnson: you have a duty to help vaccinate the world

Exclusive: group urges prime minister to tackle ‘desperate shortage’ in developing nations

Boris Johnson has a “moral duty” to immediately start matching each vaccine administered at home with a donated dose to poorer countries across the world, a cross-party group of MPs and peers has said.

Several Tory backbenchers joined the call, which puts further pressure on the prime minister to boost supplies given to developing nations facing a “desperate shortage” of jabs.

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‘Protect and invest’: WHO calls for 6m more nurses worldwide

Warnings of brain drain from developing world as Covid adds to numbers of nurses leaving profession

Health ministers around the world are being urged to sign off on plans to create 6m more nursing jobs by 2030, amid warnings that Covid-19 has exacerbated a global shortage and could spark a “brain drain” from the developing world.

Delegates meeting virtually this week at the World Health Assembly, the key decision-making body of the World Health Organization, are expected to adopt a resolution calling on countries to transform the nursing profession through more investment, support and training.

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Afghanistan’s doctors braced for rapid spread of India Covid variant

The country has no testing capacity for the B.1.617.2 strain and medics are concerned about resilience of health system

Doctors in Afghanistan have expressed fears that the Covid-19 variant first discovered in India could now be spreading quickly in the country.

At Kabul’s main Covid hospital, where all 100 beds are occupied, doctors said that many critically ill patients had recently returned from India. Up to 10 people die here every day.

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Global shortfall of nearly 1m midwives due to failure to value role, study finds

Investing in midwifery could prevent two-thirds of maternal and newborn deaths, but investment and training are urgently needed

The world is facing a shortage of 900,000 midwives, with more than half the shortfall in Africa, where nearly two-thirds of maternal deaths occur, according to a new survey.

Insufficient resources and a failure to recognise the importance of the role mean there has been little progress since the last study in 2014, according to the State of the World’s Midwifery report, which looked at 194 countries.

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‘Devastating for women and girls’: UK cuts 85% in aid to UN family planning

UNFPA says £130m being withheld would have helped prevent 250,000 child and maternal deaths in poorest countries

The British government is slashing its funding to the UN population fund (UNFPA) in a move described as “devastating” for women and girls.

The agency confirmed on Wednesday that the UK, its largest donor, is cutting funding for contraceptives and reproductive health supplies by 85% this year – from £154m to £23m – and cutting core funding from £20m to £8m.

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Revealed: big shortfall in Covax Covid vaccine-sharing scheme

Only a fifth of Oxford/AstraZeneca doses expected by May delivered as export bans, hoarding and supply shortages bite

The global vaccine-sharing initiative Covax has so far delivered about one in five of the Oxford/AstraZeneca doses it estimated would arrive in countries by May, according to a Guardian analysis, starkly illustrating the cost of export bans, hoarding and supply shortages for a scheme that represents a key lifeline for many in the developing world.

The organisations that run Covax had predicted countries would receive fewer vaccines than expected after the Indian government restricted exports from its largest manufacturer in response to a catastrophic second wave there, but the figures reveal the shortfall to be severe, leaving many governments scrambling to secure doses elsewhere.

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The Gambia becomes second African state to end trachoma

Health workers spent years targeting agonising and blinding eye disease, which was rife in rural areas

The Gambia has become the second country in Africa to eliminate trachoma, one of the leading causes of blindness.

The achievement, announced by the World Health Organization on Tuesday, came after decades of work on the disease, which has damaged the sight of about 1.9 million people worldwide. Ghana was the first country in Africa to eliminate the disease in 2018.

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Killing of female polio vaccinators puts Afghan eradication campaign at risk

Rise in cases feared as murders halt campaigns and leave many women too afraid to work

Gul Meena Hotak was on her regular rounds, going door-to-door giving polio vaccinations in the eastern Afghan city of Jalalabad, when she heard gunshots.

The 22-year-old’s immediate concern was for the safety of her friend Negina and other colleagues nearby. “Negina and my supervisor were in a neighbourhood close by when a gunman approached and shot at them. My supervisor escaped with gunshot injuries, but Negina was killed on the spot,” Hotak said.

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Malawi to bin 16,000 AstraZeneca doses amid fears of rise in vaccine hesitancy

Authorities act to counter rumours out-of-date shots are being used as people drag their heels over being vaccinated

More than 16,000 expired AstraZeneca Covid-19 doses are to be destroyed in Malawi as concerns over vaccine hesitancy increase.

The vaccines are among 102,000 doses donated by the African Union (AU) to the Malawian government last month.

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Scientists sound warning note over malaria drug resistance in Africa

Rwanda study raises fears erosion of efficacy may have begun, with children at greatest risk

Resistance to malaria drugs in Africa may be starting to take hold, according to a study that maps changes similar to those seen a decade ago when drug resistance spread in south-east Asia.

In Cambodia and neighbouring countries, the artemisinin drug compounds widely used against malaria are no longer always effective. The falciparum malaria parasites have developed genetic mutations that allow them to evade the drugs. There has been great concern that drug resistance could spread to Africa, which has the highest burden of cases of this type of malaria – and the highest toll of child deaths from it.

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Neglected tropical diseases are the landmines of global health | Albert Picado and John H Amuasi

They are 20 disparate diseases that, like mines, unduly affect the world’s poorest people. Now there’s a plan to eradicate them by 2030

In January the World Health Organization launched a new strategy for eradicating neglected tropical diseases, boldly setting targets to eliminate 20 of them by 2030.

But what are neglected tropical diseases (NTDs)? There is no easy answer. The concept was first proposed in the early 2000s to bring to light a group of diseases that disproportionately affect poor people yet, despite their collective impact, do not attract as much attention as diseases such as HIV/Aids, malaria or tuberculosis.

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Death without answers: an agonising 24-hour hunt for medical help in Guinea-Bissau

Bernardo Catchura spent a last desperate night seeking treatment in the healthcare system he had spent decades campaigning to improve. His wife is still unsure how he died

In their 15 years together, Maimuna Catchura had not known her husband to be ill. But one night in late January, 39-year-old lawyer, activist and musician Bernardo Catchura could not sleep, and complained of severe stomach pain.

The pain forced Catchura from his bed at his house in Bissau, Guinea-Bissau’s capital. That night he would navigate the country’s medical care maze, visiting pharmacies, clinics and hospitals. Before the night was through, he even considered crossing the border into Senegal to get help.

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Taliban denies killing three female Afghan polio workers

Murders of two volunteers and a nurse come one day after relaunch of national vaccination campaign

Two female volunteers and a nurse working door to door to vaccinate children against polio were shot dead by gunmen in two separate incidents in the Afghan city of Jalalabad on Tuesday.

On the same day, government officials confirmed that an explosion had rocked Jalalabad’s health ministry headquarters but no casualties were reported.

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Covid third wave may overrun Africa’s healthcare, warns WHO

Leap of 50% in cases in three months and just 7m jabs across continent ‘infecting 11 health workers an hour’

Rising cases of coronavirus in Africa threaten to overrun fragile healthcare systems and test the continent’s much-touted resilience to the disease, according to the World Health Organization’s regional office for the continent.

The global health body stated that infections were on the rise in at least 12 countries in Africa including Cameroon, Ethiopia, Kenya and Guinea.

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Lack of skin-to-skin care for small and premature babies hits survival rates

Life-saving techniques fall out of favour on maternity wards in developing countries over Covid fears

Small and sick babies are at increased risk of dying due to disruptions in care caused by coronavirus, a survey of health workers across 62 mainly developing countries has found.

Every year, 2.5 million babies die within 28 days of birth, and more than 80% of them have low birth weight. A technique for premature and small babies known as kangaroo mother care (KMC), involving early prolonged skin-to-skin contact with their mothers and breastfeeding, can help reduce mortality.

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What price a child’s life? India’s quest to make rare disease drugs affordable

Parents whose only hope was finding foreign sponsorship or a clinical trial are now looking for homegrown breakthroughs

For three years, Vidya tried to find the cause of her son’s recurrent fevers and low cognitive development. When she found out, she was devastated.

Vineeth, 10, has an incurable illness – mucopolysaccharidosis type 2 – that affects his organs. Afflicting just one in a million, the enzyme-replacement medication that can help stop the illness getting any worse costs £100,000 a year, far beyond the reach of even a wealthier Indian parent.

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Coronavirus crisis unlikely to be over by the end of the year, WHO warns

Dr Michael Ryan says Covid-19 is ‘very much in control’ as global infections rise for first time in almost two months

Despite the spread of Covid-19 being slowed in some countries due to lockdowns and vaccination programs, it is “premature” and “unrealistic” to the think the pandemic will be over by the end of the year, the World Health Organization’s executive director of emergency services has said.

Speaking at a press briefing Geneva, Dr Michael Ryan said while vaccinating the most vulnerable people, including healthcare workers, would help remove the “tragedy and fear” from the situation, and would help to ease pressure on hospitals, the “virus is very much in control”.

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