health
Khulna division logs 32 Covid deaths in a day
Thirty two more people have died of Covid-19 in different districts of Khulna division in the past 24 hours until Friday morning, health officials said.
According to the health director's office, nine people died in Khulna district, seven in Kushtia, four each in Jashore and Meherpur, three in Narail, two each in Bagerhat and Jhenaidah and one in Chuadanga district.
Read:Khulna division records its highest deaths in a day due to Covid
Besides, 1,497 people tested positive for Covid-19 during the period, said Rasheda Sultana, director of the divisional health department.
On July 10, the division logged a record number of 71 Covid deaths.
The total death toll in the division has crossed 1,804, said the health officials.
Read: Khulna division logs 47 Covid deaths
Some 79,537 cases have been detected in 10 districts of the division since the onset of Covid, of which 50,711 patients have recovered so far.
In Khulna division, the first case of Covid-19 was detected in Chuadanga on March 19, 2020.
Vaccine deliveries rising as delta virus variant slams Asia
As many Asian countries battle their worst surge of COVID-19 infections, the slow-flow of vaccine doses from around the world is finally picking up speed, giving hope that low inoculation rates can increase and help blunt the effect of the rapidly spreading delta variant.
With many vaccine pledges still unfulfilled and the rates of infection spiking across multiple countries, however, experts say more needs to be done to help nations struggling with the overflow of patients and shortages of oxygen and other critical supplies.
Some 1.5 million doses of the Moderna vaccine were set to arrive Thursday afternoon in Indonesia, which has become a dominant hot spot with a record high infections and deaths.
The U.S. shipment comes in addition to 3 million other American doses that arrived Sunday, and 11.7 million doses of AstraZeneca that have come in batches since March through the U.N.-backed COVAX mechanism, the last earlier this week.
Read:Immunized but banned: EU says not all COVID vaccines equal
“It’s quite encouraging,” said Sowmya Kadandale, health chief in Indonesia of UNICEF, which is in charge of the distribution of vaccines provided through COVAX. “It seems now to be, and not just in Indonesia, a race between the vaccines and the variants, and I hope we win that race.”
Many, including the World Health Organization, have been critical of the vaccine inequalities in the world, pointing out that many wealthy nations have more than half of their populations at least partially vaccinated, while the vast majority of people in lower-income countries are still waiting on a first dose.
The International Red Cross warned this week of a “widening global vaccine divide” and said wealthy countries needed to increase the pace of following through on their pledges.
“It’s a shame it didn’t happen earlier and can’t happen faster,” Alexander Matheou, the Asia-Pacific director of the Red Cross, said of the recent uptick in deliveries. “There’s no such thing as too late — vaccinating people is always worth doing — but the later the vaccines come, the more people will die.”
Vietnam, Thailand and South Korea have all imposed new lockdown restrictions over the past week as they struggle to contain rapidly rising infections amid sluggish vaccination campaigns.
In South Korea — widely praised for its initial response to the pandemic that included extensive testing and contact tracing — a shortage in vaccines has left 70% of the population still waiting for their first shot. Thailand, which only started its mass vaccination in early June, is seeing skyrocketing cases and record deaths, and only about 15% of people have had at least one shot. In Vietnam, only about 4% have.
“Parts of the world ... are talking about reclaiming lost freedoms such as going back to work, opening the cinemas and restaurants,” Matheou told The Associated Press. “This part of the world is far away from that.”
Indonesia started aggressively vaccinating earlier than many in the region, negotiating bilaterally with China for the Sinovac jabs. Now about 14% of its population — the fourth largest in the world — has at least one dose of a vaccine, primarily Sinovac. Several countries also have their own production capabilities, including South Korea, Japan and Thailand, but still need more doses to fill the needs of the region’s huge population.
“Both Moderna and AstraZeneca have been really critical in ramping up these numbers and ensuring that the supplies are available,” said UNICEF’s Kadandale, noting that Indonesia plans to have some additional 208.2 million people vaccinated by year’s end and is giving 1 million shots daily. “Every single dose does make a huge difference.”
Many other countries in the region have vaccination rates far below Indonesia’s for a variety of reasons, including production and distribution issues as well as an initial wait-and-see attitude from many early on when numbers were low and there was less of a sense of urgency.
Some were shocked into action after witnessing the devastation in India in April and May as the country’s health system collapsed under a severe spike in cases that caught the government unprepared and led to mass fatalities.
At the same time, India — a major regional producer of vaccines — stopped exporting doses so that it could focus on its own suffering population.
Read:FDA adds warning about rare reaction to J&J COVID-19 vaccine
The U.S. has sent tens of millions of vaccine doses to multiple countries in Asia recently, part of President Joe Biden’s pledge to provide 80 million doses, including Vietnam, Laos, South Korea and Bangladesh. The U.S. plans to donate an additional 500 million vaccines globally in the next year, and 200 million by the end of 2021.
“Indonesia is a critical partner for U.S. engagement in Southeast Asia and the vaccines come without strings attached,” said Scott Hartmann, a spokesman for the U.S. Embassy in Jakarta. “We’re doing this with the object of saving lives and ending the global pandemic, and equitable global access to safe and effective vaccines is essential.”
Earlier in the week, German Foreign Minister Heiko Maas, whose country is one of the largest financial backers of COVAX, accused Russia and China of using their delivery of vaccines for policy leverage.
“We note, in particular with China, that the supply of vaccines was also used to make very clear political demands of various countries,” he said, without providing specific examples.
There are also growing questions about the effectiveness of China’s Sinovac vaccine against the delta variant of the virus.
Thai officials said that booster doses of AstraZeneca would be given to front-line medical personnel who earlier received two doses of Sinovac, after a nurse who received two doses of Sinovac died Saturday after contracting COVID-19.
Sinovac has been authorized by WHO for emergency use but Indonesia also said it was planning boosters for health workers, using some of the newly delivered Moderna doses, after reports that some of the health workers who had died since June had been fully vaccinated with the Chinese shot.
“We have still found people getting severe symptoms or dying even when they are vaccinated,” Pandu Riono, an epidemiologist with the University of Indonesia, said about the Sinovac shot. “It’s only proven that some vaccines are strong enough to face the delta variant — AstraZeneca, Moderna and Pfizer seem capable.”
While the majority of recent deliveries have been American, Japan was sending 1 million doses of AstraZeneca on Thursday each to Indonesia, Taiwan and Vietnam as part of bilateral deals, and Vietnam said it was receiving 1.5 million more AstraZeneca doses from Australia.
The Philippines is expecting a total of 16 million doses in July, including 3.2 million from the U.S. later this week, 1.1 million from Japan, 132,000 of Sputnik V from Russia, as well as others through COVAX.
Japan is also is sending 11 million through COVAX this month to Bangladesh, Cambodia, Iran, Laos, Nepal, Sri Lanka, and others. Canada this week committed an additional 17.7 million surplus doses to the 100 million already pledged through COVAX, which is coordinated by Gavi, a vaccine alliance.
In addition to distributing some donated vaccines, financial contributions to COVAX also help fund the purchase of doses to distribute for free to 92 low or moderate income nations.
Read: Pfizer to discuss vaccine booster with US officials Monday
Earlier this month, it took blistering criticism from the African Union for how long it was taking for vaccines to reach the continent, which noted that just 1% of Africans are fully vaccinated.
Gavi said the vaccine shortfall so far this year is because the major COVAX supplier, the Serum Institute of India, diverted production for domestic use.
In its latest supply forecast, however, Gavi shows deliveries just beginning a sharp uptick, and still on track to meet the goal of about 1.5 billion doses by year’s end, representing 23% coverage in lower and middle income nations, and more than 5 billion doses by the end of 2022.
“It’s better to focus on vaccinating the world and to avoid hoarding doses,” said Matheou, of the Red Cross. “Sharing vaccines makes everyone safer.”
US overdose deaths hit record 93,000 in pandemic last year
Overdose deaths soared to a record 93,000 last year in the midst of the COVID-19 pandemic, the U.S. government reported Wednesday.
That estimate far eclipses the high of about 72,000 drug overdose deaths reached the previous year and amounts to a 29% increase.
“This is a staggering loss of human life,” said Brandon Marshall, a Brown University public health researcher who tracks overdose trends.
The nation was already struggling with its worst overdose epidemic but clearly “COVID has greatly exacerbated the crisis,” he added.
Read:US COVID-19 cases rising again, doubling over three weeks
Lockdowns and other pandemic restrictions isolated those with drug addictions and made treatment harder to get, experts said.
Jordan McGlashen died of a drug overdose in his Ypsilanti, Michigan, apartment last year. He was pronounced dead on May 6, the day before his 39th birthday.
“It was really difficult for me to think about the way in which Jordan died. He was alone, and suffering emotionally and felt like he had to use again,” said his younger brother, Collin McGlashen, who wrote openly about his brother’s addiction in an obituary.
Jordan McGlashen’s death was attributed to heroin and fentanyl.
While prescription painkillers once drove the nation’s overdose epidemic, they were supplanted first by heroin and then by fentanyl, a dangerously powerful opioid, in recent years. Fentanyl was developed to treat intense pain from ailments like cancer but has increasingly been sold illicitly and mixed with other drugs.
“What’s really driving the surge in overdoses is this increasingly poisoned drug supply,” said Shannon Monnat, an associate professor of sociology at Syracuse University who researches geographic patterns in overdoses. “Nearly all of this increase is fentanyl contamination in some way. Heroin is contaminated. Cocaine is contaminated. Methamphetamine is contaminated.”
Fentanyl was involved in more than 60% of the overdose deaths last year, CDC data suggests.
There’s no current evidence that more Americans started using drugs last year, Monnat said. Rather, the increased deaths most likely were people who had already been struggling with addiction. Some have told her research team that suspensions of evictions and extended unemployment benefits left them with more money than usual. And they said “when I have money, I stock up on my (drug) supply,” she said.
Read:Wildfires threaten homes, land across 10 Western states
Overdose deaths are just one facet of what was overall the deadliest year in U.S. history. With about 378,000 deaths attributed to COVID-19, the nation saw more than 3.3 million deaths.
The Centers for Disease Control and Prevention reviewed death certificates to come up with the estimate for 2020 drug overdose deaths. The estimate of over 93,000 translates to an average of more than 250 deaths each day, or roughly 11 every hour.
The 21,000 increase is the biggest year-to-year jump since the count rose by 11,000 in 2016.
More historical context: According to the CDC, there were fewer than 7,200 total U.S. overdose deaths reported in 1970, when a heroin epidemic was raging in U.S. cities. There were about 9,000 in 1988, around the height of the crack epidemic.
The CDC reported that in 2020 drug overdoses increased in all but two states, New Hampshire and South Dakota.
Kentucky’s overdose count rose 54% last year to more than 2,100, up from under 1,400 the year before. There were also large increases in South Carolina, West Virginia and California. Vermont had the largest jump, of about 58%, but smaller numbers — 118 to 186.
The proliferation of fentanyl is one reason some experts do not expect any substantial decline in drug overdose deaths this year. Though national figures are not yet available, there is data emerging from some states that seems to support their pessimism. Rhode Island, for example, reported 34 overdose deaths in January and 37 in February — the most for those months in at least five years.
Read:Mystery grows with key suspect in Haiti president killing
For Collin McGlashen, last year was “an incredibly dark time” that began in January with the cancer death of the family’s beloved patriarch.
Their father’s death sent his musician brother Jordan into a tailspin, McGlashen said.
“Someone can be doing really well for so long and then, in a flash, deteriorate,” he said.
Then came the pandemic. Jordan lost his job. “It was kind of a final descent.”
Dispiriting setback: COVID deaths, cases rise again globally
COVID-19 deaths and cases are on the rise again globally in a dispiriting setback that is triggering another round of restrictions and dampening hopes for a return to normal life.
The World Health Organization reported Wednesday that deaths climbed last week after nine straight weeks of decline. It recorded more than 55,000 lives lost, a 3% increase from the week before.
Cases rose 10% last week to nearly 3 million, with the highest numbers recorded in Brazil, India, Indonesia and Britain, WHO said.
The reversal has been attributed to low vaccination rates, the relaxation of mask rules and other precautions, and the swift spread of the more-contagious delta variant, which WHO said has now been identified in 111 countries and is expected to become globally dominant in the coming months.
Read:US COVID-19 cases rising again, doubling over three weeks
Sarah McCool, a professor of public health at Georgia State University, said the combination amounts to a “recipe for a potential tinderbox.”
“It’s important that we recognize that COVID has the potential for explosive outbreaks,” warned Dr. David Dowdy, an infectious disease specialist at Johns Hopkins University.
Amid the surge, the death toll in hard-hit Argentina surpassed 100,000. Daily coronavirus deaths in Russia hit record highs this week. In Belgium, COVID-19 infections, driven by the delta variant among the young, have almost doubled over the past week. Britain recorded a one-day total of more than 40,000 new cases for the first time in six months.
In Myanmar, crematoriums are working morning to night. In Indonesia, which recorded almost 1,000 deaths and over 54,000 new cases Wednesday, up from around 8,000 cases per day a month ago, people near Jakarta are pitching in to help gravediggers keep up.
“As the diggers are too tired and do not have enough resources to dig, the residents in my neighborhood decided to help,” Jaya Abidin said. “Because if we do not do this, we will have to wait in turn a long time for a burial.”
In the U.S., with one of the highest vaccination rates in the world, newly confirmed infections per day have doubled over the past two weeks to an average of about 24,000, though deaths are still on a downward trajectory at around 260 a day.
Los Angeles County, the most populous county in the U.S., reported its fifth straight day Tuesday of more than 1,000 new cases.
Tokyo is under a fourth state of emergency ahead of the Summer Games this month, with infections climbing fast and hospital beds filling up. Experts have said caseloads could rise above 1,000 before the Olympics and multiply to thousands during the games.
The spike has led to additional restrictions in places like Sydney, Australia, where the 5 million residents will remain in lockdown through at least the end of July, two weeks longer than planned. South Korea has placed the Seoul area under its toughest distancing rules yet because of record case levels.
Parts of Spain, including Barcelona, moved to impose an overnight curfew. London Mayor Sadiq Khan said masks will be required on buses and trains even after other restrictions in England are lifted next week. Italy warned all those going abroad that they might have to quarantine before returning home.
Read: Immunized but banned: EU says not all COVID vaccines equal
Chicago announced that unvaccinated travelers from Missouri and Arkansas must either quarantine for 10 days or have a negative COVID-19 test.
Connecticut lawmakers voted Wednesday to again extend Democratic Gov. Ned Lamont’s emergency declarations, despite pushback from Republicans and some Democrats who argued it is time to get back to normal. Among other things, the move keeps in place orders requiring masks in certain settings.
An Alabama military base has ordered troops to show proof of vaccination before they can go maskless as the state sees an uptick in COVID-19 cases, a rise attributed to low vaccination rates. The measure was put in place Tuesday at Fort Rucker, home to the Army’s aviation program.
As troubling as the figures are around the world, they are still well below the alarming numbers seen earlier this year.
Seven months into the vaccination drive, global deaths are down to around 7,900 a day, after topping out at over 18,000 a day in January, according to Johns Hopkins data. Cases are running at around 450,000 a day, down by half since their peak in late April.
WHO acknowledged that many countries are now facing “considerable pressure” to lift all remaining precautions but warned that failing to do it the right way will just give the virus more opportunity to spread.
Pressure is growing worldwide to boost vaccination rates to counter the rise.
“If you have been waiting, if you have been on the fence, sign up and get that shot as soon as possible,” New York City Health Commissioner Dr. Dave Chokshi pleaded.
Eighteen-year-old actress and singer Olivia Rodrigo appeared at the White House on Wednesday as part of an effort by President Joe Biden to persuade more young people. Getting a vaccination is something “you can do more easily than ever before,” she said.
While nearly 160 million Americans have been fully vaccinated, or over 55% of the population, young adults have shown less interest.
Read:FDA adds warning about rare reaction to J&J COVID-19 vaccine
Ohio is planning another prize program to encourage vaccinations, and Gov. Mike DeWine urged the government to give the vaccines full approval instead of just emergency authorization to ease people’s doubts.
“The reality is we now have two Ohios,” said Bruce Vanderhoff, the state’s chief medical officer. “An Ohio that is vaccinated and protected on the one hand, and an Ohio that is unvaccinated and vulnerable to delta on the other.”
Michigan already started a COVID-19 vaccine sweepstakes and announced the first four $50,000 winners Wednesday. Bigger prizes, including a $2 million jackpot, are coming.
In Missouri, second only to Arkansas with the worst COVID-19 diagnosis rate over the past week, political leaders in and around St. Louis have stepped up efforts to get people vaccinated through gift cards and by enlisting beauty salons and barbershops to dispense information.
In Seoul center, N Korean defectors find solace with locals
A small group of North Korean defectors gather at a sleek seven-story building in Seoul. Together with South Korean residents, they play the accordion, make ornaments and learn how to grow plants. Later, some go out for coffee.
“South and North Koreans gather here, smile and talk to each other. They ask each other about their pasts. Some (South Koreans) say their parents also originally came from North Korea,” said Ko Jeong Hee, 60, a defector who teaches accordion at the Inter-Korean Cultural Integration Center. “The atmosphere is really good here.”
The center, which opened last year, is South Korea’s first government-run facility to bring together North Korean defectors and local residents to get to know each other through cultural activities and fun. It’s meant to support defectors’ often difficult resettlement in the South, but also aims at studying the possible blending of the rivals’ cultures should they unify.
Unification is a cherished part of the political rhetoric of both Koreas, but the difficulties of creating a single Korea comprised of the fantastically rich and successful South and the poor, authoritarian North make the reality of such a plan deeply complicated.
Read:Leaders of North Korea, China vow to strengthen ties
A Korean unification in the near future seems highly unlikely. The North, despite decades of poverty and mistrust of the outside world, is not politically unstable, and there have been no meaningful recent talks on unification between the Koreas.
Exchange programs between the Koreas — singers, art troupes and basketball matches — are frozen in the midst of a dispute over North Korea’s continued accumulation of nuclear weapons. There are also questions over just how useful the center will be, and whether many defectors, suffering economic hardship, will join in events that offer no chance of profit.
About 34,000 North Koreans have resettled in South Korea after fleeing poverty and political oppression at home, mostly in the last 20 years or so. That’s about 0.06% of South Korea’s 52 million people. Upon their arrival in South Korea, defectors are given citizenship, apartments, resettlement money, three months of social orientation courses and other benefits.
But they come from an extremely repressive, nominally socialist country whose estimated nominal gross domestic product was only one-54th of South Korea’s in 2019. Many are often discriminated against in the South and struggle to adjust to their new brutally competitive, capitalistic lives.
Last year, official data showed defectors’ monthly average wage was about 80% of South Koreans’. They stuck with a job for 31.6 months on average, less than half the time spent by South Koreans; and their school dropout rate was nearly three times higher. A 2019 survey showed only 9.4% of South Korean respondents would accept defectors marrying into their families.
The plight of defectors in the South raises questions about what would happen if South Korea had to handle a sudden influx of North Korea’s 26 million people in the event of a unification on South Korean terms.
“This country has been unable to embrace those who voluntarily flee North Korea, but many are shouting for an integration of South and North Koreans and a unification,” said defector Son Jung Hoon, who worked as a human rights activist in South Korea for years. “That’s hypocrisy.”
Even the center’s establishment has been contentious. Its opening was delayed for several years because of protests by local residents, who worried it would tarnish their neighborhood’s image and lower housing prices. Center officials say there are no such complaints any longer.
Churches and civic groups have previously offered activities involving defectors, often enticing them with cash. They included a chorus, camping trips and soccer games with South Korea-born residents. But Kang Woo-jun, a university profession who is in charge some programs at the government center, said that facility doesn’t offer money but is pushing to give defectors high-quality classes.
Read: NKorea’s Kim vows to boost China ties amid pandemic hardship
“Cultural integration is much more difficult and requires a longer time than a political and institutional unification,” Unification Minister Lee In-young said recently. “Even though South and North Korea, living separated for about 70 years, becoming one is a long, treacherous journey, we must not stop it. It’s a journey that we have to go on together. That’s the reason why the Inter-Korean Cultural Integration Center exists.”
Built in a quiet residential neighborhood in western Seoul, the center isn’t well-known to the general public. COVID 19-related restrictions have largely forced it to offer more than half of its programs online and limit the number of in-person participants to less than 10. On Monday, its in-person programs were suspended or switched online amid a viral resurgence in Seoul.
During a recent visit to the center by Associated Press journalists, four female defectors and a South Korean man, all wearing masks, played the accordion, with Ko, the instructor, helping them.
Yu Hwa-suk, 57, fled to the South in 2015, and said she wants to achieve her childhood dream of becoming an accordionist.
“(South Korean) participants have a huge interest in North Koreans so we felt an intimacy with them,” Yu said, adding that she and others often dine out after their class.
In a craft class, four defectors and three South Koreans, all women, appeared a bit uncomfortable with each other, saying they haven’t had any meaningful conversations.
Song Hyo Eun, a 39-year-old South Korean, said she wouldn’t ask defectors about their lives in North Korea because it might involve a sore subject like their relatives left behind. Two defectors in their 70s said they worry South Koreans might have negative views about defectors.
Authorities should use various local facilities to integrate defectors living around South Korea, rather than establishing one big center in a certain area, said Kim Whasoon, an expert at a research institute at Seoul’s Sungkonghoe University.
Many defectors eke out a living and have been paid for attending cultural events in the past, said Kim Jong Kun, a professor at Seoul’s Kunkuk University. Because of this, Kim said, “I don’t think they want to gather with South Koreans just to learn calligraphy and musical instruments or sing a song.”
Read:North Korea’s Kim berates officials for ‘grave’ virus lapse
Some defectors and South Koreans also view unification differently.
Park Seong Hee, 50, a South Korean instructor in the craft class, said she hopes for a gradual process. “If we are unified, I think North Koreans would all come down to South Korea and disrupt the order that we’ve established,” she said.
Yu, the defector, wept as she spoke of unification as a way to rejoin her relatives and teach them what she’s learned in South Korea.
“Frankly speaking, I sometimes want to go back home,” Yu said. “When I lived in North Korea, I thought I would be happy if I was well-off. But after coming here, I’ve realized that being happy means being with the people I miss.”
Death toll rises to 92 in blaze at coronavirus ward in Iraq
The death toll from a fire that swept through a hospital coronavirus ward climbed to 92 on Tuesday, Iraq’s state news agency reported, as anguished relatives buried their loved ones and lashed out at the government over the country’s second such disaster in less than three months.
Health officials said scores of others were injured in the blaze that erupted Monday at al-Hussein Teaching Hospital in Nasiriyah.
The tragedy cast a spotlight on what many have decried as widespread negligence and mismanagement in Iraq’s hospitals after decades of war and sanctions.
Prime Minister Mustafa al-Kadhimi convened an emergency meeting and ordered the suspension and arrest of the health director in Dhi Qar provice, the hospital director and the city’s civil defense chief. The government also launched an investigation.
Read: 50 killed in in coronavirus hospital fire in Iraq
The prime minister called the catastrophe “a deep wound in the consciousness of all Iraqis.”
Two Iraqi health officials, speaking on condition of anonymity in line with regulations, disputed the reported death toll, saying 88 had been killed.
Authorities at one point said the fire was caused by a short circuit. Another official said the blaze erupted when an oxygen cylinder exploded. The officials were not authorized to talk to the news media and spoke on condition of anonymity.
In April, at least 82 people — many of them coronavirus patients or their relatives — were killed in a fire at a Baghdad hospital that broke out when an oxygen tank exploded. Iraq’s health minister resigned over the disaster.
In the holy city of Najaf, the dead from Nasiriyah were laid to rest. Mourning families stood over the coffins at a mosque to say one last prayer.
Their tears were tinged with anger, with some saying the disaster could have been prevented. They blamed both the provincial government and the central government in Baghdad.
Ahmed Resan, who witnessed the blaze, said it began with smoke. “But everyone ran away — the workers and even the police. A few minutes later there was an explosion,” he said. He said firefighters arrived an hour later.
“The whole state system has collapsed, and who paid the price? The people inside here. These people have paid the price,” Haidar al-Askari seethed at the scene.
Overnight, firefighters and rescuers — many holding flashlights and using blankets to smother small fires — searched through the ward. As dawn broke, bodies covered with sheets could be seen laid out on the ground outside the hospital. Distraught relatives searched for traces of their loved ones amid charred blankets and belongings.
Read:Drone attacks by Iraqi militias reflect Iran’s waning hold
Ali Khalid, 20, a volunteer who dashed to the scene, said he found the bodies of two young girls locked in embrace.
“How terrified they must have been, they died hugging each other,” he said.
The ward, opened three months ago, contained 70 beds in three large halls. Maj. Gen. Khalid Bohan, head of Iraq’s civil defense, said the building was constructed from cheap, flammable materials.
Ali Karar, a cleaner at the hospital, said the ward had only four fire extinguishers and no fire alarm system. Firetrucks ran out of water quickly, he said.
Doctors have long complained of lax safety at Iraq’s hospitals, especially around oxygen cylinders, and have described the institutions as ticking bombs.
Mac Skelton, a medical sociologist focused on Iraq, said chaos and neglect in Iraq’s public hospitals since the U.S.-led invasion in 2003 have given rise to “toxic” distrust between patients and doctors.
Doctors in COVID-19 wards often say they avoid confronting patients’ families who are mishandling oxygen tanks, for fear they will react violently, he said. “But families say that they have legitimate fears about leaving the lives of their vulnerable loved ones up to medical staff that they regard as under-resourced, overburdened and disinterested.”
Iraq is in the midst of another severe COVID-19 surge. New cases per day peaked last week at 9,000. Iraq’s war-crippled health system has struggled to contain the virus. The country has recorded over 17,000 deaths and 1.4 million confirmed cases.
Fear and widespread mistrust of the public health sector have kept many from seeking hospital care.
Read: US airstrikes target Iran-backed militias in Syria, Iraq
Ali Abbas Salman, who rushed to evacuate his COVID-19-stricken father from the building after the fire broke out, swore he wouldn’t take the older man back to a hospital.
“He wants me to take him home. He said, `It’s better to die of coronavirus than being burned alive,’” Salman said.
The disaster is likely to stoke public discontent toward Iraq’s political establishment ahead of October elections, said Marsin Alshammary, an Iraq specialist at the Brookings Institution. Nasiriyah has been at the heart of past revolutions in Iraq.
“Given this entire atmosphere built around the city,” she said, “you can imagine that something as tragic as this event, where people who were already vulnerable were killed in a needless accident, will create more public anger.”
US COVID-19 cases rising again, doubling over three weeks
The COVID-19 curve in the U.S. is rising again after months of decline, with the number of new cases per day doubling over the past three weeks, driven by the fast-spreading delta variant, lagging vaccination rates and Fourth of July gatherings.
Confirmed infections climbed to an average of about 23,600 a day on Monday, up from 11,300 on June 23, according to Johns Hopkins University data. And all but two states — Maine and South Dakota — reported that case numbers have gone up over the past two weeks.
“It is certainly no coincidence that we are looking at exactly the time that we would expect cases to be occurring after the July Fourth weekend,” said Dr. Bill Powderly, co-director of the infectious-disease division at Washington University’s School of Medicine in St. Louis.
At the same time, parts of the country are running up against deep vaccine resistance, while the highly contagious mutant version of the coronavirus that was first detected in India is accounting for an ever-larger share of infections.
Read:Wildfires threaten homes, land across 10 Western states
Nationally, 55.6% of all Americans have received at least one COVID-19 shot, according to the Centers for Disease Control and Prevention. The five states with the biggest two-week jump in cases per capita all had lower vaccination rates: Missouri, 45.9%; Arkansas, 43%; Nevada, 50.9%; Louisiana, 39.2%; and Utah, 49.5%.
Even with the latest surge, cases in the U.S. are nowhere near their peak of a quarter-million per day in January. And deaths are running at under 260 per day on average after topping out at more than 3,400 over the winter — a testament to how effectively the vaccine can prevent serious illness and death in those who happen to become infected.
Still, amid the rise, health authorities in places such as Los Angeles County and St. Louis are begging even immunized people to resume wearing masks in public. And Chicago officials announced Tuesday that unvaccinated travelers from Missouri and Arkansas must either quarantine for 10 days or have a negative COVID-19 test.
Meanwhile, the Health Department in Mississippi, which ranks dead last nationally for vaccinations, began blocking posts about COVID-19 on its Facebook page because of a “rise of misinformation” about the virus and the vaccine.
Mississippi officials are also recommending that people 65 and older and those with chronic underlying conditions stay away from large indoor gatherings because of a 150% rise in hospitalizations over the past three weeks.
In Louisiana, which also has one of the nation’s lowest vaccination rates, officials in the city of New Orleans said Tuesday that they are likely to extend until fall virus-mitigation efforts currently in place at large sporting and entertainment gatherings, including mask mandates or requirements that attendees be vaccinated or have a negative COVID-19 test. State health officials said cases of the coronavirus are surging, largely among nonvaccinated people.
But the political will may not be there in many states fatigued by months of restrictions.
Read:Mystery grows with key suspect in Haiti president killing
In Michigan, Democratic Gov. Gretchen Whitmer is facing a drive to repeal a law that she used to set major restrictions during the early stages of the pandemic.
And Republican Gov. Kay Ivey of Alabama pushed back against the idea that the state might need to reimpose preventive measures as vaccinations lag and hospitalizations rise.
“Alabama is OPEN for business. Vaccines are readily available, and I encourage folks to get one. The state of emergency and health orders have expired. We are moving forward,” she said on social media.
Dr. James Lawler, a leader of the Global Center for Health Security at the University of Nebraska Medical Center in Omaha, said bringing back masks and limiting gatherings would help. But he acknowledged that most of the places seeing higher rates of the virus “are exactly the areas of the country that don’t want to do any of these things.”
Lawler warned that what is happening in Britain is a preview of what’s to come in the U.S.
“The descriptions from regions of the world where the delta variant has taken hold and become the predominant virus are pictures of ICUs full of 30-year-olds. That’s what the critical care doctors describe and that’s what’s coming to the U.S.,” he said.
He added: “I think people have no clue what’s about to hit us.”
Read:FDA adds warning about rare reaction to J&J COVID-19 vaccine
President Joe Biden is putting a dose of star power behind the administration’s efforts to get young people vaccinated. Eighteen-year-old actress, singer and songwriter Olivia Rodrigo will meet with Biden and Dr. Anthony Fauci on Wednesday.
While the administration has had success vaccinating older Americans, young adults have shown less urgency to get the shots.
Some, at least, are heeding the call in Missouri after weeks of begging, said Erik Frederick, chief administrative officer of Mercy Hospital Springfield. He tweeted that the number of people getting immunized at its vaccine clinic has jumped from 150 to 250 daily.
“That gives me hope,” he said.
Immunized but banned: EU says not all COVID vaccines equal
After Dr. Ifeanyi Nsofor and his wife received two doses of AstraZeneca’s coronavirus vaccine in Nigeria, they assumed they would be free to travel this summer to a European destination of their choice. They were wrong.
The couple — and millions of other people who have been vaccinated through a U.N.-backed effort — could find themselves barred from entering many European and other countries because those nations don’t recognize the Indian-made version of the vaccine for travel.
Although AstraZeneca vaccine produced in Europe has been authorized by the continent’s drug regulatory agency, the same shot manufactured in India hasn’t been given the green light.
EU regulators said AstraZeneca hasn’t completed the necessary paperwork on the Indian factory, including details on its production practices and quality control standards.
Read:FDA adds warning about rare reaction to J&J COVID-19 vaccine
But some experts describe the EU move as discriminatory and unscientific, pointing out that the World Health Organization has inspected and approved the factory. Health officials say the situation won’t only complicate travel and frustrate fragile economies but also undermine vaccine confidence by appearing to label some shots substandard.
As vaccination coverage rises across Europe and other rich countries, authorities anxious to salvage the summer tourism season are increasingly relaxing coronavirus border restrictions.
Earlier this month, the European Union introduced its digital COVID-19 certificate, which allows EU residents to move freely in the 27-nation bloc as long as they have been vaccinated with one of the four shots authorized by the European Medicines Agency, have a fresh negative test, or have proof they recently recovered from the virus.
While the U.S. and Britain remain largely closed to outside visitors, the EU certificate is seen as a potential model for travel in the COVID-19 era and a way to boost economies.
The officially EU-endorsed vaccines also include those made by Pfizer, Moderna and Johnson & Johnson. They don’t include the AstraZeneca shot made in India or many other vaccines used in developing countries, including those manufactured in China and Russia.
Individual EU countries are free to apply their own rules for travelers from inside and outside the bloc, and their rules vary widely, creating further confusion for tourists. Several EU countries, including Belgium, Germany and Switzerland, allow people to enter if they have had non-EU-endorsed vaccines; several others, including France and Italy, don’t.
For Nsofor, the realization he could be barred was “a rude awakening.” After a tough year of working during the pandemic in Abuja, Nsofor and his wife were looking forward to a European vacation with their two young daughters, perhaps admiring the Eiffel Tower in Paris or touring Salzburg in Austria.
Nsofor noted that the Indian-made vaccine he received had been authorized by WHO for emergency use and had been supplied through COVAX, the U.N.-backed program to provide shots to poor corners of the world. WHO’s approval included a visit to the Serum Institute of India factory to ensure that it had good manufacturing practices and that quality control standards were met.
“We’re grateful to the EU that they funded COVAX, but now they are essentially discriminating against a vaccine that they actively funded and promoted,” Nsofor said. “This will just give room to all kinds of conspiracy theories that the vaccines we’re getting in Africa are not as good as the ones they have for themselves in the West.”
Read: Pfizer to discuss vaccine booster with US officials Monday
Ivo Vlaev, a professor at Britain’s University of Warwick who advises the government on behavioral science during COVID-19, agreed that Western countries’ refusal to recognize vaccines used in poor countries could fuel mistrust.
“People who were already suspicious of vaccines will become even more suspicious,” Vlaev said. “They could also lose trust in public health messages from governments and be less willing to comply with COVID rules.”
Dr. Mesfin Teklu Tessema, director of health for the International Rescue Committee, said countries that have declined to recognize vaccines cleared by WHO are acting against the scientific evidence.
“Vaccines that have met WHO’s threshold should be accepted. Otherwise it looks like there’s an element of racism here,” he said.
WHO urged countries to recognize all of the vaccines it has authorized, including two Chinese-made ones. Countries that decline to do so are “undermining confidence in lifesaving vaccines that have already been shown to be safe and effective, affecting uptake of vaccines and potentially putting billions of people at risk,” the U.N. health agency said in a statement this month.
In June, the Serum Institute of India’s CEO, Adar Poonawalla, tweeted that he was concerned about vaccinated Indians facing problems traveling to the EU and said he was raising the problem at the highest levels with regulators and countries.
Stefan De Keersmaeker, a spokesman for the EU’s executive arm, said last week that regulators were obligated to check the production process at the Indian factory.
“We are not trying to create any doubts about this vaccine,” he said.
AstraZeneca said it only recently submitted the paperwork on the Indian factory to the EU drug regulatory agency. It didn’t say why it didn’t do so earlier, before the agency made its original decision in January.
Read: South Africa ramps up vaccine drive, too late for this surge
Public health experts warned that countries that decline to recognize vaccines backed by WHO are complicating global efforts to safely restart travel.
“You can’t just cut off countries from the rest of the world indefinitely,” said Dr. Raghib Ali of the University of Cambridge. “To exclude some people from certain countries because of the vaccine they’ve received is wholly inconsistent because we know that these approved vaccines are extremely protective.”
Nsofor said he and his wife are still deciding where to take their summer vacation and are leaning toward Singapore or East Africa.
“I didn’t realize there were so many layers to vaccine inequity,” he said.
Pfizer to discuss vaccine booster with US officials Monday
Pfizer says it plans to meet with top U.S. health officials Monday to discuss the drugmaker’s request for federal authorization of a third dose of its COVID-19 vaccine as President Joe Biden’s chief medical adviser acknowledged that “it is entirely conceivable, maybe likely” that booster shots will be needed.
The company said it was scheduled to have the meeting with the Food and Drug Administration and other officials Monday, days after Pfizer asserted that booster shots would be needed within 12 months.
Pfizer’s Dr. Mikael Dolsten told The Associated Press last week that early data from the company’s booster study suggests people’s antibody levels jump five- to 10-fold after a third dose, compared to their second dose months earlier — evidence it believes supports the need for a booster.
Read:Pfizer to seek OK for 3rd vaccine dose; shots still protect
On Sunday, Dr. Anthony Fauci didn’t rule out the possibility but said it was too soon for the government to recommend another shot. He said the Centers for Disease Control and Prevention and the FDA did the right thing last week by pushing back against Pfizer’s assertion with their statement that they did not view booster shots as necessary “at this time.”
Fauci said clinical studies and laboratory data have yet to fully bear out the need for a booster to the current two-shot Pfizer and Moderna vaccines or the one-shot Johnson & Johnson regimen.
“Right now, given the data and the information we have, we do not need to give people a third shot,” he said. “That doesn’t mean we stop there. ... There are studies being done now ongoing as we speak about looking at the feasibility about if and when we should be boosting people.”
He said it was quite possible in the coming months “as data evolves” that the government may urge a booster based on such factors as age and underlying medical conditions. “Certainly it is entirely conceivable, maybe likely at some time, we will need a boost,″ Fauci said.
Read:AstraZeneca, Pfizer vaccines effective against Delta Covid-19 variants: Study
Monday’s planned meeting between Pfizer and U.S. health officials was first reported by The Washington Post.
Currently only about 48% of the U.S. population is fully vaccinated. Some parts of the country have far lower immunization rates, and in those places the delta variant is surging. Last week, Dr. Rochelle Walensky, the CDC director, said that’s leading to “two truths” — highly immunized swaths of America are getting back to normal while hospitalizations are rising in other places.
Fauci said it was inexplicable that some Americans are so resistant to getting a vaccine when scientific data show how effective it is in staving off COVID-19 infections and hospitalizations, and he was dismayed by efforts to block making vaccinations more accessible, such as Biden’s suggestion of door-to-door outreach.
Gov. Asa Hutchinson, R-Ark., agreed Sunday that there is a vaccine resistance in Southern and rural states like his because “you have that more conservative approach, skepticism about government.”
Read:AP source: US to buy 500M Pfizer vaccines to share globally
Describing his efforts to boost vaccinations in his state, which is seeing rising infections, Hutchinson said “no one wants an agent knocking on a door,” but “we do want those that do not have access otherwise to make sure they know about it.”
The grassroots component of the federal vaccination campaign has been in operation since April, when supplies of shots began outpacing demand. It was outlined and funded by Congress in the $1.9 trillion COVID-19 relief bill passed in March and overwhelmingly is carried out by local officials and private sector workers and volunteers.
Rep. Adam Kinzinger, R-Ill., blasted opposition to vaccination efforts from some GOP lawmakers as “absolute insanity.” He said House Republican leader Kevin McCarthy of California and others in the party need to speak out against “these absolute clown politicians playing on your vaccine fears for their own selfish gain.”
Fauci appeared on CNN’s “State of the Union,” ABC’s “This Week” and CBS’ “Face the Nation”; Hutchinson spoke on ABC, and Kinzinger was on CNN.
Myanmar caught off guard as cases surge, oxygen dwindles
Soe Win stood in line at a plant to buy oxygen for his grandmother, who is struggling with COVID-19 symptoms.
“I have been waiting since 5 in the morning until 12 noon but I’m still in line. Oxygen is scarcer than money,” said the resident of Myanmar’s biggest city, Yangon.
Consumed by a bitter and violent political struggle since the military seized power in February, Myanmar has been slow to wake up to a devastating surge in cases since mid-May. It has left many of the sick like Soe Win’s grandmother to suffer at home if they cannot find a bed at an army hospital, or prefer not to trust their care to the widely disliked government.
Read: Myanmar: UN expert calls for emergency coalition to end junta's 'reign of terror'
Under Aung San Suu Kyi, the civilian leader ousted by the military, Myanmar had weathered its second coronavirus surge beginning in August last year by severely restricting travel, sealing off Yangon, and curbing election campaigning in virus hot spots where lockdowns were imposed.
Suu Kyi appeared frequently on television with stern but empathetic entreaties to the public on how to deal with the situation. Vaccine supplies were secured from India and China. Her ouster came less than a week after the first jabs were given to health workers.
Suu Kyi’s removal by the military sparked widespread protests, and medical workers spearheaded a popular civil disobedience movement that called on professionals and civil servants not to cooperate with the military-installed government.
Military hospitals continued operating but were shunned by many, while doctors and nurses who boycotted the state system ran makeshift clinics, for which they faced arrest. The pace of vaccinations slowed to a crawl, threatening an explosion in infections.
“No wise person with a good heart and a sincere desire for truth would want to work under the junta’s rule,” said Zeyar Tun, founder of the civic action group Clean Yangon who helped out at quarantine centers. “Under Suu Kyi, the government and volunteers worked together to control the disease, but it is difficult to predict what the future holds under military rule.”
Photos and news stories early last week of people lining up to buy oxygen in the city of Kalay in the northwestern Sagaing region brought home the reality that Myanmar’s health care, already one of the world’s weakest, was on its knees.
“From Myanmar, our U.N. colleagues on the ground say they’re concerned about the rapid increase in the number of recorded COVID-19 cases,” U.N. spokesman Stephane Dujarric said in New York.
Read:In Myanmar, the military and police declare war on medics
“The U.N. team warns that a major outbreak of COVID-19 would have devastating consequences on both people’s health and on the economy. They stress the importance of resuming the delivery of essential health services, implementing measures to prevent the spread of the virus, and to scale up vaccinations.”
By the end of the week, residents of Myanmar’s two biggest cities, Yangon and Mandalay, were also having trouble finding oxygen supplies.
Myanmar’s new leader, Senior Gen. Min Aung Hlaing, in a Friday meeting on COVID-19 response ordered oxygen plants to work at full capacity, including converting industrial oxygen for the needs of patients.
Investment and Foreign Trade Minister Aung Naing Oo followed up on Saturday with an announcement that the government is dropping all duties and licensing requirements for the import of oxygen concentrators — devices that generate oxygen.
The Health Ministry on Saturday reported a record 4,377 new confirmed cases for a total of 188,752, as well as a record 71 deaths, bringing the toll to 3,756. The number of tested people found to be infected is hovering around 25%, and equally alarming is how quickly the numbers have been rising.
The data on vaccinations is not very clear, but it appears that as of last month, only 3.5 million doses had been administered to the country’s 55 million people, meaning a maximum of 3.2% of the population would be fully vaccinated with two doses.
According to Johns Hopkins University, the seven-day rolling average rose from 1.18 cases per 100,000 people on June 25 to 6.08 cases per 100,000 people on July 9. In the same period, deaths jumped from 0.01 per 100,000 people to 0.08.
Read:Washington announces further sanctions against Myanmar army personnel and enablers
Even those numbers are likely an undercount.
According to aid group Relief International, Myanmar’s major challenges are a lack of adequate screening, testing capacity and availability of vaccines.
The Health Ministry announced Thursday night that all schools would be closed for two weeks. Stay-at-home orders had already been issued for badly hit neighborhoods in several cities, including Yangon, and basic field hospitals set up.