UN: Yemen unlikely to get cholera vaccine as first planned

Updated 11 July 2017
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UN: Yemen unlikely to get cholera vaccine as first planned

GENEVA: UN officials said Tuesday that plans to ship as many as 1 million doses of cholera vaccine to Yemen are likely to be shelved over security, access and logistical challenges, even as the deadly caseload continues to balloon in parts of the war-torn country.
The UN aid coordination agency said Yemen’s suspected cholera caseload has surged past 313,000 and caused over 1,700 deaths, making it the world’s largest outbreak. War has crippled Yemen’s health system, depleted access to safe drinking water and put millions on the brink of famine.
Citing such complexities, spokesman Christian Lindmeier of the World Health Organization (WHO) said that shipping vaccines “has to make sense,” and that they could be re-routed to places that “might need them more urgently,” such as some African countries.
The announcement from the UN officials comes a day before the WHO’s new director-general, Tedros Adhanom Ghebreyesus, is expected to address the UN Security Council by video conference about Yemen’s cholera crisis.
Last month, following a request from Yemen’s internationally recognized government, the WHO and several key partners agreed to send 1 million doses of vaccine, the largest of its kind since 1 million doses were sent to Haiti after Hurricane Matthew last fall.
Lindmeier said 500,000 cholera vaccine doses are currently waiting in Djibouti for possible delivery to Yemen, and that Yemen’s government has final say whether they actually are sent. The Yemeni government is allied with a Saudi-led coalition that is battling Shiite Houthi rebels, who control the capital, Sanaa, and much of northern Yemen.
Cholera vaccine rollouts are not easy even in more peaceful situations. The vaccines have to be kept in cold storage, and patients should receive a follow-up vaccination after the first one. In Yemen, where cholera has now reached all 21 governorates, the vaccines have to be targeted to those areas most susceptible to new outbreaks. That’s hard in Yemen, which has remote areas and conflict zones that have sliced up the country.
Jamie McGoldrick, the Yemen chief for the UN Office for the Coordination of Humanitarian Affairs, said the plan to ship vaccines was designed as a “preventive intervention,” but in some cases, the impact would be “less than optimal” by the time the vaccines would arrive.
Speaking by phone to reporters in Geneva, McGoldrick said the trend line of cases in areas that have gotten help fighting cholera has been “stable, or (has) shown signs of decline. However, there are many areas in the country where the trend line is moving up, and those areas are, as you would imagine, the most remote,” or behind conflict lines.
He said Yemen now has 313,538 suspected cases and 1,732 deaths caused by cholera in an outbreak that was first recorded in late March.


Syrian leader to meet Putin, Russia seeks deal on military bases

Updated 7 sec ago
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Syrian leader to meet Putin, Russia seeks deal on military bases

MOSCOW: Syrian President Ahmed Al-Sharaa will meet Russian counterpart Vladimir Putin in Moscow on Wednesday, as the Kremlin seeks to secure the future of its military bases in the country.
Putin and Sharaa struck a conciliatory tone at their previous meeting in October, their first since Sharaa’s rebel forces toppled Moscow-ally Bashar Assad in 2024.
But Russia’s continued sheltering of Assad and his wife since their ouster remains a thorny issue. Sharaa has repeatedly pushed Russia for their extradition.
Sharaa, meanwhile, has embraced US President Donald Trump, who on Tuesday praised the Syrian leader as “highly respected” and said things were “working out very well.”
Putin, whose influence in the Middle East has waned since Assad’s ouster, is seeking to maintain Russia’s military footprint in the region.
Russia withdrew its forces from the Qamishli airport in Kurdish-held northeast Syria earlier this week, leaving it with only the Hmeimim air base and Tartus naval base on Syria’s Mediterranean coast — its only military outposts outside the former Soviet Union.
“A discussion is planned on the status of bilateral relations and prospects for developing them in various fields, as well as the current situation in the Middle East,” the Kremlin said of the upcoming meeting in a statement on Tuesday.
Russia was a key ally of Assad during the bloody 14-year Syrian civil war, launching air strikes on rebel-held areas of Syria controlled by Sharaa’s Islamist forces.
The toppling of Assad dealt a major blow to Russia’s influence in the region and laid bare the limits of Moscow’s military reach amid the Ukraine war.
The United States, which cheered Assad’s demise, has fostered ever-warmer ties with Sharaa — even as Damascus launched a recent offensive against Kurdish forces long backed by the West.
Despite Trump’s public praise, both the United States and Europe have expressed concern that the offensive in Syria’s northeast could precipitate the return of Islamic State forces held in Kurdish-held jails.