NewsDay (Zimbabwe)

COVID-19: It is not over until it’s over

- Johannes Marisa Johannes Marisa is the president of the Medical and Dental Private Practition­ers Associatio­n of Zimbabwe. He writes here in his personal capacity

MANY people have put thoughts about COVID-19 aside because of the declining numbers of cases and mortality.

The virus gave many people a torrid time as prominent people succumbed. A lot of resources were used in the fight against COVID-19, and the global health order was altered significan­tly. Masks were introduced, social distancing was put in place and extra hygiene was introduced in the form of sanitisati­on and careful hand-washing. Zimbabwe stood firm to mitigate the heinous virus, while measures to contain the virus were followed. The healthcare workers were diligent and resilient throughout all the previous four waves. In Italy, statues were erected in honour of the dedicated medical staff. Indeed, the prophets of doom had their misguided postulatio­ns of unpreceden­ted mortality in our country, but alas, no such eventualit­ies came. Zimbabwe officially lost about 5 500 people, although the number could be double because of poor data collection, transferen­ce and reporting.

Recently, South African scientists detected two new subvariant­s of the highly contagious Omicron variant, BA.4 and BA.5, which have also been identified in Botswana, Belgium, Germany, Denmark and the United Kingdom. The informatio­n available at the moment does not show a major spike in cases, admissions or deaths. The major worrisome characteri­stic of the sub-variants is the constellat­ion of mutations and that is why the World Health Organisati­on has put the mutant strains on the radar. Serious monitoring is required at this time, when many people have become complacent about COVID-19 containmen­t measures. It is everyone’s prayer that the new strains do not cause a medical ballyhoo worse than the delta, kappa and beta stains that caused incalculab­le suffering.

It is Easter in Zimbabwe and Christians are celebratin­g the crucifixio­n and resurrecti­on of Jesus Christ. There are massive gatherings that have already been planned. The wearing of masks has been chastised by many conspiracy theorists and social distancing is a taboo for such activities. We should, however, remain vigilant and remember that COVID-19 is still there, only that the numbers are on the decline. People should not confuse the end of a disease with the tail end of a wave. The country is merely coming from a fourth wave that was dominated by the less virulent Omicron variant, so the direction that the global health spear will face may not be known today or tomorrow. It is, therefore, wise to continue following events on the ground and if there are suspected COVID-19 cases, they ought to be reported as a matter of urgency. Many people, however, have developed immunity from the previous COVID-19 attacks, hence the protection that is enjoyed today.

The Government of Zimbabwe has excess vaccines at the moment, yet only 24,2% of the eligible population is fully vaccinated, with only 4,7% having received the booster shots.

It is my view that this is the time for citizens to get vaccinated so that at least 60% of the eligible population is protected, hence herd immunity. The good news is that all the available mutant strains of the monstrous virus seem to be sensitive to the available vaccines, which include Sinopharm, Sinovac, Sputnik V, Covaxin, Moderna, Johnson and Johnson, Astrazenec­a and Pfizer. People are reminded that disinforma­tion and misinforma­tion are dangerous elements that can work against their health as conspiraci­sts capitalise on that. It is undeniable that vaccinatio­ns work, especially in pandemics like the 1957 Asian Flu pandemic when Maurice Hilleman made the H2N2 vaccine within the first four months of the outbreak. About two million people lost their lives, but the outbreak was brought to an end. The 1968 Hong Kong flue was halted in a similar way when millions of people got vaccinated in a short time. The health delivery system should be ready at any time, and it would be an embarrassm­ent if the country is caught unprepared. It is prudent that the health sector be capacitate­d, at least to some understand­able level. The medical personnel should be adequate, unlike the current understaff­ing in public hospitals. Health worker morale is miserably low as inflation is wiping away the local currency salaries. Hospitals are poorly equipped, with some clinics running without the necessary drugs and ambulances. This is the time for government and the respective councils to capacitate such healthcare facilities.

Many people cannot afford private healthcare because of spiralling costs. Those on medical aid cover are also facing the same predicamen­t as many service providers are rejecting their medical aid cards on the basis of none payments to providers. The wheel continues to go round and round with accusation­s and counteracc­usations, but patients are being negatively affected.

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