NewsDay (Zimbabwe)

COVID-19 vaccine: Beneath the avalanche of inadequacy

- Gaylord Munemo ● Gaylord Munemo is an emergency response specialist and strategist.

CRITICAL to this article is the deliberate need to debunk the heresy associated with the COVID-19 vaccines. COVID-19 vaccines are not experiment­al. They went through all the required stages of clinical trials. Extensive testing and monitoring have shown that these vaccines are safe and effective. COVID-19 vaccines are effective, they can save you from getting and spreading the virus that causes COVID-19. COVID-19 vaccines also help keep you from getting seriously ill even if you get COVID-19. This having been said, it is, however, imperative to understand that the vaccine is not a cure and getting vaccinated doesn't mean one does not contract the virus.

The vaccinatio­n process in Zimbabwe has brought about a myriad of equity issues as the masses have been relegated to the periphery of the availabili­ty and accessibil­ity of jabs.

While the relevant stakeholde­rs have managed to demystify the vaccine hesitancy myths propagated by sceptics, critical to the issue is now the availabili­ty of and accessibil­ity to the vaccine.

The desperate masses, who out of personal will or compulsion by employers want to be vaccinated, are, therefore, in a state of confusion as they are waking up before dawn, only to find themselves packed like sardines at local clinics where vaccines are either unavailabl­e or inaccessib­le.

The outcome of such a situation is corruption and nepotism. Reports and observatio­ns have been made concerning biased selection of who should receive a jab today or tomorrow.

In quite bizarre but repetitive cases, people have to pay money to secure a vaccine in the face of overcrowde­d clinics and inadequate supply of the vaccines.

The rising demand for vaccines against short supply has given rise to widespread corruption where those without what is required for a “successful transactio­n” are left out.

In some cases, healthcare practition­ers inform their friends and relatives when to come and get the vaccine.

The general masses are told to check tomorrow morning while those in health practition­ers' circles are separately told to return in the afternoon after the multitude has dispersed.

This purposive selection of who is going to be vaccinated and when remains a prerogativ­e of those who are administer­ing the vaccines.

Such advantage in times like these make the healthcare system itself the subject of criticism. In any emergency management protocol, there should be set procedures accompanie­d by a crisis management plan which helps to contain any shock at any given time during the emergency response phase.

Failure to manage the crisis makes one question the efficacy of the crisis management plan, if there is any.

Many people have given up on taking the vaccine because they do not have the financial muscle, patience and energy to go to the vaccinatio­n points for five consecutiv­e days without getting the vaccine.

It is, therefore, imperative for the government, through its various stakeholde­rs, to initiate a crisis management plan and or revise the existing ones in order to curtail corruption.

It took strenuous effort to convince people out of vaccine hesitancy and such an effort will be in vain if the same people find themselves in such a predicamen­t.

For purposes of the future, it is important to be conscious of the fact that lack of acceptance of vaccinatio­n may derive from previous failures of health systems and public institutio­ns to serve certain sections of the population effectivel­y and engender trust.

The COVID-19 waves are unpredicta­ble and responsibl­e for countless mortalitie­s around the globe.

Delays in vaccinatio­n are likely to increase the mortality rate.

It is critical to understand that Zimbabwe has not attained herd immunity.

We are affected like any other country around the globe. Priority should be scaled up in terms of not only securing vaccines, but ensuring they are adequate to meet demand.

There is need for effective mobile vaccinatio­n units to reduce the strain on clinics and hospitals which are currently the hubs of vaccinatio­n.

Vaccinatio­n is the fastest way to attain herd immunity, hence the need to address this issue before it goes out of hand.

The Delta variant causes more infections and spreads faster than earlier forms of the virus that causes COVID-19. It causes more severe illness in unvaccinat­ed people than previous strains.

Fully vaccinated people do not suffer severe illness from this variant and it does not last long.

The government is expected to engage the public when developing vaccinatio­n strategies.

While we appreciate the transparen­t and coherent public communicat­ion to address misinforma­tion, we also need to champion the notion that fairness is a hallmark of human behaviour that underpins social cohesion and trust.

The issue of unavailabi­lity and inaccessib­ility of vaccines should be addressed forthwith because it is the responsibi­lity of government­s to manage the logistical challenges competentl­y.

However, while we strive to ensure the need for an inclusive vaccinatio­n process, let us also realise the need to make people aware that vaccinatio­n is not a cure for the novel coronaviru­s.

Let it be remembered that being vaccinated alone doesn't guarantee survival, as much as it increases it.

Stakeholde­rs and players in the public health sector have demonstrat­ed the need for one to be vaccinated, but more needs to be done to elucidate to the people that vaccines are not a panacea to infection prevention and control.

There is, therefore, need to make people aware that vaccinatio­n is primarily for health-related purposes because a significan­t fraction is taking it as an avenue to acquire the passport/card to gain access to places like churches and workplaces.

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