God, AIDS, Africa & HOPE

pensées of a Catholic priest

When incompetence meets ignorance

When incompetence meets ignorance, normally there are consequences – and the changes in the entry regulations for Germany regarding people coming from areas with virus variations are an example of dire consequences for business people, investors and frankly those in South Africa, who are not able any more to sustain themselves.

Germany has changed the entry rules for mutant variation areas: India, Great Britain, Portugal are suddenly only High Incidence Areas while South Africa, the SADEC region and Brazil remain closed for non-Germans and to add hurt to insult, prescribes 14 days of quarantine without the possibility of early testing to be able to move on.

Obviously, everybody affected is screaming at Germany, but to be fair, one has to take a step back to appreciate the situation in its entirety. One has to admit, that the national government of South Africa failed its people a great deal. The vaccine procurement disaster, the corruption and stealing of Covid-19 relief money, a suspended national Minister of Health and a Minister of Tourism with questionable credentials now running the show, the attempt to use the lockdown to progress on a left ideology and the continued disaster produced on all levels using cadre deployment policy did not and currently does not help to remedy the situation. There seems to be no trust in Europe in the ability of South Africa’s ruling party to contain the virus – and all the nice pictures of Ramaphosa in Great Britain recently can’t change this. Political pleasantries for TV never automatically mean realities behind the curtain.

On the other hand, preventing fully vaccinated people from South Africa with in Europe approved vaccines to travel to Germany and to sentence Germans coming back to 14 days quarantine is clearly not a balanced approach and shows an ignorance which results in discrimination. It does also not appreciate the fact, that measures should be balanced between rational necessities and the freedom guaranteed by the German constitution. Looking at statistics, Germany has meanwhile predominately infections with the Delta variant. To open up for India and Great Britain where this variant is also dominant, but refuse to do the same for South Africa and other Southern African countries has the taste of bias, old school thinking and ignorance.

Even if obviously Germany comes first for Germans, to add to more downfall of the economy of another country – and we have to recall that even when South Africa had an incidence rate of 11 – no South African was allowed to travel to Germany- there should be more considerations and not only lip-service.

The current situation and rules are not helpful, they discriminate against those doing business, having job offers or study permits, they disrupt the lives of many without a balanced approach. They ignore negligently the already dire situation of many living in South Africa and those in Germany who would like to keep a lifeline with this African country.

Filed under: Africa, Politics and Society, Reflection, SA-German Chamber of Commerce & Industry, Society and living environment, South Africa, Uncategorized, , , , , , , , ,

A window of opportunity

We all welcomed the relief of bringing back South Africa from Covid-19 alert level 3 to 1 in the last days. But having said this it is also noticeable that more and more voices are raising concern about the possibility of a 3rd wave as early as the second half of May, when winter is knocking onto the door – especially the Western Cape with cold temperatures and rain will be exposed to more indoor activities raising the bar.

So the next 8 weeks are a window of opportunity to get things right and especially to see to our tools available preventing another peak of death and hospitalization figures. Vaccinations are new in our tool box – but the way they were introduced have clouded for many the willingness to receive them. Instead of using 1.5 million jabs already in the country of a clearly death and hospitalization avoiding vaccine the countries leaders decided to give away 1.5 million protection and opting for a trial run with another vaccination provider needing volunteers to conclude phase 3.

I got quite some flak for criticising Linda-Gail Bekker for wearing two heads as the co-principal of the J&J study and at the same time being part of the running of the country’s vaccine drive. In a tweet reply she assured me that there were no financial implications for her and that several ethic committees have given the green light for this conflict of interest to overcome. I have no reason to not believe her – but I am still of the opinion that this is not really the point:

Looking around and listening to various virologists there is a clear line: vaccinate with what you can get your hands on – the WHO has approved AstraZeneca also for the mutant discovered in South Africa – and I would expect from anybody running the show in this arena to stand up against any government decision to miss the opportunity vaccinating to at least avoid dead and hospitalisation in the 3rd wave. Vaccinate your health workers with the J&J trial as it most likely produces a higher protection rate, but there are millions of South Africans who are not in the health sector – they are working in schools and crèches, in retail, in hospitality, yearning for that extra protection they can get.

While many African countries started a vaccination drive – with AstraZeneca – South Africa stands lonely with a marginal vaccination trial programme having rejected what was already in the country. Judge for yourself whether this decision costing lives in the third wave was right. There will be many who are already dead when in the third and fourth quarter the promised vaccine drive starts in this country. To get a sense of where we are the vaccinations done by now:

And there is more: the writing is already very clearly on the walls: no vaccination no freedom of travel internationally; what this means for business travel you might be able to imagine. We are in the process of missing the boat and we all know, South Africa cannot afford it.

Lastly another question mark: The whole drama about AstraZeneca was triggered by a small – not even peer-to-peer reviewed study – and knowing how the battle is on between pharmaceutical companies to get their product on the market and to cash in – it is understandable that there remain questions how convenient this study was put into the public domain. The amount of studies being published for a greater audience without the filter of academic review and academic knowledge is a danger in itself.

As lives are in danger on different levels: health, economy, social we have to ask the hard questions and to scrutinize what is done and how it is done on the level of decision-making.

We have now a window of opportunity before the virus hits us anew in another wave – and we have to expect from government more than just warm words and promises…. Lives are at stake!

Filed under: Africa, Medical and Research, Politics and Society, Reflection, Society and living environment, South Africa, Uncategorized, , , , , , , , ,

A decision costing lives

While parts of South Africa celebrating the first jabs and at the same time wonder, how a president and a minister of health jump the queue and have become overnight honorary frontline health care worker, there are more questions than answers.

There are indeed questions regarding the AstraZeneca vaccinations – 1.5 million jabs arrived with great fanfare in South Africa, received and checked by the President of the country himself – only to be overnight discarded as not effective enough via a small study without peer-to-peer review and even more questions than answers, when you listen to health care professionals behind closed doors. While the headline of a news outlet in South Africa reads: “WHO gives AstraZeneca Covid-19 vaccine emergency approval, says it works against variant first found in SA” the national Minister of Health is quick to say, that the vaccine – which was paid almost double the price as European buyers – will go the African Union for distribution in other African countries.

This will cost lives – as AstraZeneca clearly prevents severe disease and death – consequently would free up hospital beds and oxygen use in the third wave which will come without doubt in the winter months. 3/4 of a million people could be spared by using the vaccine to end up in hospital or even in a crematory.

But the story does not end here. One of the national vaccine protocol chairs is also – according to newspaper reports – wearing the hat of co-principal for a stage III study. Now the gap is filled with 80 000 vaccines to complete the trial, needed by the pharmaceutical company to acquire the emergency permission and the product consequently being added to the bouquet of vaccines available around the world. Obviously there is also the promise of more vaccines for South Africa from the same company.

Transparency looks different – insiders know how tough the fight for market shares is and how much money is at stake in the run for emergency approval and being able to sell the product. As much as it is nice to see vaccinations finally happening in South Africa, connecting the dots gives at least a picture which leads to more question than answers. And with all the cheer being produced by those pulling the strings behind the proverbial curtain the fact is that giving away the AstraZeneca vaccines will cost South African lives in the future. Experts are aware that none of the vaccine delivers a 100% protection and true is also, that one vaccination might not be enough on the long run. All companies work already on boosters, including also to cover the many variants of the virus; at the end such boosters will follow for most vaccines.

For now, it should be acted on what Christian Drosten, Chef virologist of the world-famous Charite remarked some days ago: that whatever you have on vaccine, should be used because at the end, all the vaccines help to cut down on the spread of the virus one or the other way.

And so there is only one conclusion:
competition, egos, politics or similar should be on the backbench – whatever tool is available should be made available to protect people from becoming severe ill and dying. Every prevented dead is a win! The chaos around the vaccine and the questions the story raises will not help to boost the confidence of people in South Africa for the vaccine. Looking at the social media response there is no indication that jumping the queue of politicians assists in changing minds. If we really want the buy-in of those opposing the vaccine one has to avoid any appearance of non-transparency or second guessing about motivations, reasons and decision-making. In this South Africa has still to catch up heavily.

Filed under: Medical and Research, Politics and Society, Reflection, Society and living environment, Uncategorized, , , , , , ,

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