In Somalia, COVID-19 vaccines are distant as virus spreads

Somalia remains the rare place where much of the population has not taken the coronavirus seriously. (AP)
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Updated 04 January 2021
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In Somalia, COVID-19 vaccines are distant as virus spreads

  • Fewer than 27,000 tests for the virus have been conducted in Somalia, a country of more than 15 million people, one of the lowest rates in the world. Fewer than 4,800 cases have been confirmed, including at least 130 deaths

MOGADISHU: As richer countries race to distribute COVID-19 vaccines, Somalia remains the rare place where much of the population hasn’t taken the coronavirus seriously. Some fear that’s proven to be deadlier than anyone knows.

“Certainly, our people don’t use any form of protective measures, neither masks nor social distancing,” Abdirizak Yusuf Hirabeh, the government’s COVID-19 incident manager, said in an interview. “If you move around the city (of Mogadishu) or countrywide, nobody even talks about it.” And yet infections are rising, he said.
It is places like Somalia, the Horn of Africa nation torn apart by three decades of conflict, that will be last to see COVID-19 vaccines in any significant quantity. With part of the country still held by the Al-Qaeda-linked Al-Shabab extremist group, the risk of the virus becoming endemic in some hard-to-reach areas is strong — a fear for parts of Africa amid the slow arrival of vaccines.
“There is no real or practical investigation into the matter,” said Hirabeh, who is also the director of the Martini hospital in Mogadishu, the largest treating COVID-19 patients, which saw seven new patients the day he spoke. He acknowledged that neither facilities nor equipment are adequate in Somalia to tackle the virus.
Fewer than 27,000 tests for the virus have been conducted in Somalia, a country of more than 15 million people, one of the lowest rates in the world. Fewer than 4,800 cases have been confirmed, including at least 130 deaths.
Some worry the virus will sink into the population as yet another poorly diagnosed but deadly fever.
For 45-year-old street beggar Hassan Mohamed Yusuf, that fear has turned into near-certainty. “In the beginning we saw this virus as just another form of the flu,” he said.
Then three of his young children died after having a cough and high fever. As residents of a makeshift camp for people displaced by conflict or drought, they had no access to coronavirus testing or proper care.
At the same time, Yusuf said, the virus hurt his efforts to find money to treat his family as “we can’t get close enough” to people to beg.
Early in the pandemic, Somalia’s government did attempt some measures to limit the spread of the virus, closing all schools and shutting down all domestic and international flights. Mobile phones rang with messages about the virus.

SPEEDREAD

Fewer than 27,000 tests for the virus have been conducted in Somalia, a country of more than 15 million people, one of the lowest rates in the world.

But social distancing has long disappeared in the country’s streets, markets or restaurants. On Thursday, some 30,000 people crammed into a stadium in Mogadishu for a regional football match with no face masks or other anti-virus measures in sight.
Mosques in the Muslim nation never faced restrictions, for fear of the reactions.
“Our religion taught us hundreds of years ago that we should wash our hands, faces and even legs five times every day and our women should take face veils as they’re often weaker. So that’s the whole prevention of the disease, if it really exists,” said Abdulkadir Sheikh Mohamud, an imam in Mogadishu.
“I left the matter to Allah to protect us,” said Ahmed Abdulle Ali, a shop owner in the capital. He attributed the rise in coughing during prayers to the changing of seasons.
A more important protective factor is the relative youth of Somalia’s people, said Dr. Abdurahman Abdullahi Abdi Bilaal, who works in a clinic in the capital. More than 80 percent of the country’s population is under age 30.
“The virus is here, absolutely, but the resilience of people is owing to age,” he said.
It’s the lack of post-mortem investigations in the country that are allowing the true extent of the virus to go undetected, he said.
The next challenge in Somalia is not simply obtaining COVID-19 vaccines but also persuading the population to accept them.
That will take time, “just the same as what it took for our people to believe in the polio or measles vaccines,” a concerned Bilaal said.
Hirabeh, in charge of Somalia’s virus response, agreed that “our people have little confidence in the vaccines,” saying that many Somalis hate the needles. He called for serious awareness campaigns to change minds.
The logistics of any COVID-19 vaccine rollout are another major concern. Hirabeh said Somalia is expecting the first vaccines in the first quarter of 2021, but he worries that the country has no way to handle a vaccine like the Pfizer one that requires being kept at a temperature of minus 70 degrees Celsius.
“One that could be kept between minus 10 and minus 20 might suit the Third World like our country,” he said.


French foreign minister heads to Cairo as truce talks intensify

Updated 01 May 2024
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French foreign minister heads to Cairo as truce talks intensify

  • Diplomatic efforts toward securing a ceasefire were intensifying following a renewed push led by Egypt
  • France has three nationals still held hostage by Hamas after the group’s assault on Israel in October

TEL AVIV: France’s foreign minister will travel to Cairo on Wednesday in an unscheduled stop during a Middle East tour as efforts to secure a truce between Israel and Hamas in Gaza reach a critical point, a French diplomatic source said.
Diplomatic efforts toward securing a ceasefire were intensifying following a renewed push led by Egypt to revive stalled negotiations between Israel and Hamas, Gaza’s ruling Palestinian Islamist group.
“The surprise visit of the minister is in the context of Egypt’s efforts to free hostages and achieve a truce in Gaza,” the source said.
France has three nationals still held hostage by Hamas after the group’s assault on Israel in October.
Foreign minister Stephane Sejourne’s trip to Egypt follows stopovers in Lebanon, Saudi Arabia and Israel. He will likely want to assess whether those three hostages could be released and how close a deal actually is.
Sejourne, who saw Israeli Prime Minister Benjamin Netanyahu in Jerusalem on Tuesday, said in an interview on Tuesday that there was some momentum toward an accord, but that it would only be a first step toward a long-term ceasefire.
He warned that an offensive in southern Gaza City of Rafah would do nothing to help Israel in its war with Hamas.


Trucks bringing bodies and detainees into Gaza hold up aid says UNRWA

Updated 01 May 2024
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Trucks bringing bodies and detainees into Gaza hold up aid says UNRWA

  • Israel has killed more than 34,000 Palestinians, according to Gaza’s Health Ministry
  • Asked for more details, UNRWA spokesperson Juliette Touma said that Israel had sent 225 bodies to Gaza in three containers since December that were then transported by the UN agency to local health authorities for burial, shutting the crossing temporarily

GENEVA: Trucks bringing both bodies and detainees from Israel back to Gaza through the main crossing point of Kerem Shalom regularly hold up aid deliveries, the head of the UN agency for Palestinian refugees said on Tuesday.
A deepening humanitarian crisis in Gaza has raised pressure on Israel to boost supplies into the enclave to curb disease among the 1.7 million people displaced by the Israeli-Hamas conflict and relieve hunger amid famine warnings from the United Nations.
UNRWA Commissioner-General Philippe Lazzarini told journalists on Tuesday that aid supplies into Gaza had improved in April but listed a series of ongoing difficulties including regular crossing closures “because they (Israel) are dumping released detainees or dumping sometimes bodies taken to Israel and back to the Gaza Strip.”
Asked for more details, UNRWA spokesperson Juliette Touma said that Israel had sent 225 bodies to Gaza in three containers since December that were then transported by the UN agency to local health authorities for burial, shutting the crossing temporarily. She did not have details of the circumstances of their deaths and said it was not UNRWA’s mandate to investigate.
On the detainee transfers, some of which have been previously reported by Reuters, she said that they had been transferred from Israel back to Gaza “dozens of times.”
Israel’s COGAT, a military branch in charge of aid, did not immediately respond to a request for comment. A spokesperson for the Israeli diplomatic mission in Geneva referred questions on the transfers to Jerusalem.
On aid deliveries, he said: “Mr. Lazzarini is deflecting from UNRWA’s own failures and responsibilities. Again today, there was a backlog of more than 150 trucks screened by Israel in Kerem Shalom not picked up by UN agencies.”
Tensions are high between Israel and UNRWA with the former accusing 19 UNRWA staff of involvement in the Oct. 7 Hamas attacks against Israel that killed 1,200 people and prompted the latter’s military campaign in Gaza. Israel’s allegations are being examined by UN investigators although a separate review found Israel has yet to provide evidence for accusations that hundreds of UNRWA staff are members of terrorist groups.
Kerem Shalom is one of just two crossings the UN says is currently open between Gaza and its neighbors Egypt and Israel.
Palestinian authorities have previously said that Israel has returned bodies from the Israeli-Hamas conflict after confirming they were not hostages. They said they were trying to identify them and figure out where they were killed.

 


Tunisian opposition wants political prisoners freed before taking part in presidential election

Updated 01 May 2024
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Tunisian opposition wants political prisoners freed before taking part in presidential election

  • Ennahdha’s headquarters were shut down a year ago, and its leader Rached Ghannouchi – a former parliament speaker – was sentenced to 15 months in prison on charges of glorifying terrorism

TUNIS, Tunisia: Tunisia’s main opposition coalition said Tuesday it won’t take part in the North African country’s upcoming presidential election unless President Kais Saied’s political opponents are freed and judicial independence is restored.
More than 20 political opponents have been charged or imprisoned since Saied consolidated power in 2021 by suspending parliament and rewriting the country’s constitution. Voters weary of political and economic turmoil approved his constitutional changes in a 2021 referendum with low turnout.
Saied is widely expected to run in the presidential election, likely to take place in September or October. It is unclear if anyone will challenge him.
The National Salvation Front, a coalition of the main opposition parties including once-powerful Islamist movement Ennahdha, expressed concern that the election wouldn’t be fair, and laid out its conditions for presenting a candidate.
They include freeing imprisoned politicians, allowing Ennahdha’s headquarters to reopen, guaranteeing the neutrality and independence of the electoral commission and restoring the independence of the judicial system, according to National Salvation Front president Ahmed Nejib Chebbi.
Ennahdha’s headquarters were shut down a year ago, and its leader Rached Ghannouchi – a former parliament speaker – was sentenced to 15 months in prison on charges of glorifying terrorism. His supporters say the charge is politically driven.
Under the constitutional changes Saied introduced, the president can appoint members of the electoral authority as well as magistrates.
Tunisia’s earlier charter had been seen as a model for democracies in the region.
Tunisia built a widely praised but shaky democracy after unleashing Arab Spring popular uprisings across the region in 2011. Its economic woes have deepened in recent years, and it is now a major jumping off point for migrants from Tunisia and elsewhere in Africa who take dangerous boat journeys toward Europe.

 


Israeli ground operation in Rafah would be ‘tragedy beyond words’: UN

Updated 01 May 2024
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Israeli ground operation in Rafah would be ‘tragedy beyond words’: UN

  • “The world has been appealing to the Israeli authorities for weeks to spare Rafah, but a ground operation there is on the immediate horizon,” said Griffiths

UNITED NATIONS, United States: A ground operation by Israeli troops in the southern Gaza city of Rafah would be a “tragedy beyond words,” the UN’s humanitarian chief Martin Griffiths said in a statement on Tuesday.
“The simplest truth is that a ground operation in Rafah will be nothing short of a tragedy beyond words. No humanitarian plan can counter that,” Griffiths said, after Israeli Prime Minister Benjamin Netanyahu vowed to launch an offensive on Rafah, which has become a refuge to some 1.5 million Palestinians.
With Hamas weighing a truce plan proposed in Cairo talks with the US, Egyptian and Qatari mediators, Netanyahu vowed to launch the assault on Rafah “with or without a deal.”
Washington has joined calls on Israel from other countries and humanitarian organizations to spare the city for fear an army incursion would lead to massive civilian casualties.
“The world has been appealing to the Israeli authorities for weeks to spare Rafah, but a ground operation there is on the immediate horizon,” said Griffiths.
“For the hundreds of thousands of people who have fled to Gaza’s southernmost point to escape disease, famine, mass graves and direct fighting, a ground invasion would spell even more trauma and death.
“For agencies struggling to provide humanitarian aid despite the active hostilities, impassable roads, unexploded ordnance, fuel shortages, delays at checkpoints, and Israeli restrictions, a ground invasion would strike a disastrous blow.
“We are in a race to stave off hunger and death, and we are losing.”
The war in Gaza started after Hamas’s October 7 attack on southern Israel resulted in the deaths of 1,170 people, mostly civilians, according to an AFP tally of Israeli official figures.
Israel’s retaliatory offensive has killed at least 34,535 people in Gaza, mostly women and children, according to the health ministry in the Hamas-run territory.
Palestinian militants also took some 250 hostages on October 7. Israel estimates 129 remain in Gaza, including 34 believed to be dead.


Why Israel is so determined to launch an offensive in Rafah. And why so many oppose it

Updated 01 May 2024
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Why Israel is so determined to launch an offensive in Rafah. And why so many oppose it

  • Israel has killed more than 34,000 Palestinians, according to Gaza’s Health Ministry
  • Palestinians live in densely packed tent camps, overflowing UN shelters or crowded apartments, and are dependent on international aid for food, with sanitation systems and medical facilities infrastructure crippled

JERUSALEM: Israel is determined to launch a ground offensive against Hamas in Rafah, Gaza’s southernmost town, a plan that has raised global alarm because of the potential for harm to more than a million Palestinian civilians sheltering there.
Even as the US, Egypt and Qatar pushed for a ceasefire deal they hope would avert an assault on Rafah, Prime Minister Benjamin Netanyahu repeated on Tuesday that the military would move on the town “with or without a deal” to achieve its goal of destroying the Hamas militant group.
“We will enter Rafah because we have no other choice. We will destroy the Hamas battalions there, we will complete all the objectives of the war, including the return of all our hostages,” he said.
Israel has approved military plans for its offensive and has moved troops and tanks to southern Israel in apparent preparation — though it’s still unknown when or if it will happen.
About 1.4 million Palestinians — more than half of Gaza’s population — are jammed into the town and its surroundings. Most of them fled their homes elsewhere in the territory to escape Israel’s onslaught and now face another wrenching move, or the danger of facing the brunt of a new assault. They live in densely packed tent camps, overflowing UN shelters or crowded apartments, and are dependent on international aid for food, with sanitation systems and medical facilities infrastructure crippled.
WHY RAFAH IS SO CRITICAL
Since Israel declared war in response to Hamas’ deadly cross-border attack on Oct. 7, Netanyahu has said a central goal is to destroy its military capabilities.
Israel says Rafah is Hamas’ last major stronghold in the Gaza Strip, after operations elsewhere dismantled 18 out of the militant group’s 24 battalions, according to the military. But even in northern Gaza, the first target of the offensive, Hamas has regrouped in some areas and continued to launch attacks.
Israel says Hamas has four battalions in Rafah and that it must send in ground forces to topple them. Some senior militants could also be hiding in the city.
WHY THERE IS SO MUCH OPPOSITION TO ISRAEL’S PLAN
The US has urged Israel not to carry out the operation without a “credible” plan to evacuate civilians. Egypt, a strategic partner of Israel, has said that an Israeli military seizure of the Gaza-Egypt border — which is supposed to be demilitarized — or any move to push Palestinians into Egypt would threaten its four-decade-old peace agreement with Israel.
Israel’s previous ground assaults, backed by devastating bombardment since October, leveled huge parts of northern Gaza and the southern city of Khan Younis and caused widespread civilian deaths, even after evacuation orders were given for those areas.
Israel’s military says it plans to direct the civilians in Rafah to “humanitarian islands” in central Gaza before the planned offensive. It says it has ordered thousands of tents to shelter people. But it hasn’t given details on its plan. It’s unclear if it’s logistically possible to move such a large population all at once without widespread suffering among a population already exhausted by multiple moves and months of bombardment.
Moreover, UN officials say an attack on Rafah will collapse the aid operation that is keeping the population across the Gaza Strip alive,. and potentially push Palestinians into greater starvation and mass death.
Some entry points have been opened in the north, and the US has promised that a port to bring in supplies by sea will be ready in weeks. But the majority of food, medicine and other material enters Gaza from Egypt through Rafah or the nearby Kerem Shalom crossing — traffic that is likely to be impossible during an invasion.
The US has said that Israel should use pinpoint operations against Hamas inside Rafah without a major ground assault.
After Netanyahu’s latest comments, US National Security spokesperson John Kirby said, “We don’t want to see a major ground operation in Rafah. Certainly, we don’t want to see operations that haven’t factored in the safety, security of” those taking refuge in the town.
POLITICAL CALCULATIONS
The question of attacking Rafah has heavy political repercussions for Netanyahu. His government could be threatened with collapse if he doesn’t go through with it. Some of his ultranationalist and conservative religious governing partners could pull out of the coalition, if he signs onto a ceasefire deal that prevents an assault.
Critics of Netanyahu say that he’s more concerned with keeping his government intact and staying in power than national interest, an accusation he denies.
One of his coalition members, Finance Minister Bezalel Smotrich, said Tuesday that accepting a ceasefire deal and not carrying out a Rafah operation would amount to Israel “raising a white flag” and giving victory to Hamas.
On the other hand, Netanyahu risks increasing Israel’s international isolation — and alienating its top ally, the United States — if it does attack Rafah. His vocal refusals to be swayed by world pressure and his promises to launch the operation could be aimed at placating his political allies even as he considers a deal.
Or he could bet that international anger will remain largely rhetorical if he goes ahead with the attack. The Biden administration has used progressively tougher language to express concerns over Netanyahu’s conduct of the war, but it has also continued to provide weapons to Israel’s military and diplomatic support.