Cape Argus

New Covid-19 waves surge

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IT’S NOT just India. Fierce new Covid19 waves are enveloping other developing countries across the world, placing severe strain on their health-care systems and prompting appeals for help.

Nations ranging from Laos to Thailand in South-east Asia, and those bordering India such as Bhutan and Nepal, have been reporting significan­t surges in infections in the past few weeks. The increase is mainly because of more contagious virus variants, though complacenc­y and a lack of resources to contain the spread have also been cited as reasons.

In Laos last week, the health minister sought medical equipment, supplies and treatment, as cases jumped more than 200-fold in a month. Nepal is seeing hospitals quickly filling up and running out of oxygen supplies.

Health facilities are under pressure in Thailand, where 98% of new cases are from a more infectious strain of the pathogen, while some island nations in the Pacific Ocean are facing their first Covid waves.

Although nowhere close to India’s population or flare-up in scope, the reported spikes in these handful of nations have been far steeper, signalling the potential dangers of an uncontroll­ed spread. The resurgence – and first-time outbreaks in some places that largely avoided the scourge last year – heightens the urgency to deliver vaccine supplies to poorer, less influentia­l countries and avert a more protracted pandemic.

“It’s very important to realise that the situation in India can happen anywhere,” said Hans Kluge, the regional director at the World Health Organizati­on for Europe, during a briefing last week. “This is still a huge challenge.”

Ranked by the change in newly recorded infections in the past month over the previous month, Laos came first with a 22 000% increase, followed by Nepal and Thailand, both of which saw fresh case loads rocketing more than 1 000% on a month-on-month basis.

Also on top of the list are Bhutan, Trinidad and Tobago, Suriname, Cambodia and Fiji, which witnessed the epidemic erupt at a high triple-digit pace. “All countries are at risk,” said David Heymann, a professor of infectious disease epidemiolo­gy at the London School of Hygiene & Tropical Medicine. “The disease appears to be becoming endemic and will therefore probably remain a risk to all countries for the foreseeabl­e future.”

On May 1, India reported a record 401 993 new cases in the prior 24 hours, while deaths touched a new high of 3 689 the following day.

The nation’s hospitals and crematoriu­ms are working overtime to cope with the sick and the surging number of deaths. Compoundin­g the crisis, health-care facilities are also facing a shortage of medical oxygen, unable to treat distressed patients with coronaviru­s-infected lungs gasping for air.

The abrupt outbreak in Laos – a place that had only recorded 60 cases since the start of the pandemic through April 20 and no death to date – shows the challenges facing some the landlocked nations. Porous borders make it harder to clamp down on illegal crossings, although entry is technicall­y banned. Communist-ruled Laos has ordered lockdowns in its capital Vientiane and banned travel between the capital and provinces.

The health minister reached out to neighbours like Vietnam for assistance.

Nepal and Bhutan have seen cases erupt, in part due to returning nationals. Nepal, which has identified cases of the new Indian variant, has limited resources to combat the virus. The Himalayan nation said it was suspending most flights and turning major hospitals into Covid care facilities.

The situation was “very serious”, according to Ali Mokdad, the Chief Strategy Officer for Population Health at the University of Washington.

“New variants will require a new vaccine and a booster for those already vaccinated – they will delay the control of the pandemic.”

After staying relatively Covid-free thanks to strict border controls, some of the Pacific island-nations are now seeing their first wave. Cities in the tourist hot spot of Fiji have gone into lockdown after the wider community contracted the virus from the military.

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