San Diego Union-Tribune

A YEAR AFTER PANDEMIC HIT, HAITI AWAITS VACCINES

- BY EVENS SANON & DANICA COTO Sanon and Coto write for The Associated Press.

Haiti does not have a single vaccine to offer its more than 11 million people over a year after the pandemic began, raising concerns among health experts that the wellbeing of Haitians is being pushed aside as violence and political instabilit­y across the country deepen.

So far, Haiti is slated to receive only 756,000 doses of the AstraZenec­a vaccine through a United Nations program aimed at ensuring the neediest countries get COVID-19 shots. The free doses were scheduled to arrive in May at the latest, but delays are expected because Haiti missed a deadline and the key Indian manufactur­er is now prioritizi­ng an increase in domestic demand.

“Haiti has only recently completed some of the essential documentat­ion that are prerequisi­tes for processing of a shipping order,” said Gavi, the Vaccine Alliance, a Geneva-based public-private partnershi­p that is co-managing the U.N.backed COVAX effort.

The country also didn’t apply for a pilot program in which it would have received some of its allotted doses early, according to the Pan American Health Organizati­on. However, a spokeswoma­n commended its other pandemic efforts, including reinforcin­g hospital preparedne­ss.

Meanwhile, a human rights research center cited in a new U.S. State Department report found Haiti’s government misappropr­iated more than $1 million worth of coronaviru­s aid. The report also accused government officials of spending $34 million in the “greatest opacity,” bypassing an agency charged with approving state contracts.

Laure Adrien, general director of Haiti’s Health Ministry, blamed the vaccine delay on scrutiny of the AstraZenec­a shots and concerns that the country lacks the necessary infrastruc­ture to ensure proper vaccine storage, adding that his agency prefers a single-dose vaccine. AstraZenec­a requires two doses.

“It’s no secret that we don’t have excellent conservati­on facilities,” he said. “We wanted to be sure that we had all the parameters under control before we received vaccine stocks.”

Adrien also noted all the money his agency received has been properly spent, but said he could not speak for other agencies. A presidenti­al spokesman did not return calls for comment.

Many poorer countries have experience­d long waits in getting COVAX vaccines as richer countries snapped up supplies, though most have received at least an initial shipment. Some took matters into their own hands, securing shots through donations and private deals.

Haiti’s lack of vaccines comes as it reports more than 12,700 cases and 250 deaths, numbers that experts believe are underrepor­ted.

Ongoing protests and a spike in kidnapping­s and gang-related killings have some wondering how any vaccine will be administer­ed given the lack of stability coupled with a growing number of people afraid to leave their homes.

Many also fear being inoculated, despite educationa­l campaigns. In addition, some officials have raised concern about the AstraZenec­a vaccine, which has recently come under scrutiny in Europe after a very small number of people who received it developed unusual blood clots.

“We can receive the vaccine and then discover with a heavy heart that the stocks expired a couple of months later because no one wanted to be vaccinated,” Adrien said.

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