10 African countries have no ventilators. And that’s only part of the problem.

South Sudan, a nation of 11 million, has more vice presidents (five) than ventilators (four).

The Central African Republic has three ventilators for its five million people.

In Liberia, which is similar in size, there are six working machines–and one of them sits behind the gates of the United States Embassy.

In all, fewer than 2,000 working ventilators have to serve hundreds of millions of people in public hospitals across 41 African countries, the World Health Organization says, compared with more than 170,000 in the United States.

Ten countries in Africa have no ventilators at all.

Many experts are worried about chronic shortages of much more basic supplies needed to slow the spread of the disease and treat the sick on the continent – things like masks, oxygen and, even more fundamentally, soap and water. Clean running water and soap are in such short supply that only 15 percent of sub-Saharan Africans had access to basic hand-washing facilities in 2015, according to the United Nations.

In Liberia, it is even worse – 97 percent of homes did not have clean water and soap in 2017, the U.N. says.

“The things that people need are simple things,” said Kalipso Chalkidou, the director of global health policy at the Center for Global Development, a research group. “Not high-tech things.”

[New York Times]

WHO warns Africa could be next COVID-19 epicenter

Africa could become the next epicenter of the coronavirus outbreak, the World Health Organization (WHO) has warned. UN officials also say it is likely the pandemic will kill at least 300,000 people in Africa and push nearly 30 million into poverty.

More than a third of Africa’s population lacks access to adequate water supplies and nearly 60% of urban dwellers live in overcrowded slums – conditions where the virus could thrive.

The fragile health infrastructure in the continent means that it will be doubly strained by an increasing number of new Covid-19 infections. There are only around five intensive care beds available for every one million people in most African countries, compared with around 4,000 beds for every million people in Europe. The WHO has also highlighted that the continent lacks ventilators to deal with a pandemic.

Dr Moeti told BBC Global Health correspondent Tulip Mazumdar that international travel played a part. “If you look at the proportion of people who travel, Africa has fewer people who are traveling internationally,” she said. But now that the virus is in within Africa, she says that her organization is acting under the assumption that it will spread just as quickly as elsewhere.

The WHO has witnessed the virus spreading from big cities to “the hinterland” in South Africa, Nigeria, Ivory Coast, Cameroon and Ghana, Dr Moeti said.

[BBC]

Funding of the World Health Organization WHO

COVID-19 funding and money for much of the WHO’s work comes from voluntary contributions from states, international organizations, and the private sector.

Its core budget, however, is raised from membership dues. The United States has not paid its dues to the organization for 2020, nor has it paid most of 2019’s bill. The United States paid 12.5 of the organization’s voluntary revenue in 2018. This is funding donors can choose to withhold.

Mandatory – or “assessed’ – contributions to the WHO, on the other hand, are part of a member’s obligations and cannot be indefinitely skipped. Percentages are calculated and assigned to members proportional to their national wealth. The US share is 22 percent of the annual core budget. 

Ahead of the US funding boycott, the WHO already had commitments amounting to 94 percent of its $450 million COVID-19 funding target for this year. As of 9 April, it had received $365 million (about four percent of which was from the United States), and recorded pledges for a further $61 million, including an unknown US amount. 

So Trump’s funding cut announcement would appear to have a limited impact on the WHO’s COVID-19 response in 2020, with Kuwait, Japan, and the European Commission being the largest donors. The US contribution, recorded at $14 million, puts it in seventh place as a country donor.

While the WHO should be able to weather a US funding freeze for COVID-19, its long term prospects may be of greater concern.

[The New Humanitarian]

Trump halts US funding to World Health Organization WHO

President Donald Trump announced Tuesday he is halting funding to the World Health Organization while a review is conducted. Trump said the review would cover the WHO’s “role in severely mismanaging and covering up the spread of coronavirus.”

Trump’s announcement comes in the middle of the worst global pandemic in decades and as he angrily defends his own handling of the outbreak in the United States. Amid swirling questions about whether he downplayed the crisis or ignored warnings from members of his administration about its potential severity, Trump has sought to assign blame elsewhere, including at the WHO and in the news media.

The US funds $400 million to $500 million to the WHO each year, Trump said, noting that China “contributes roughly $40 million.”

His decision to withdraw funding from the WHO follows a pattern of skepticism of world organizations that began well before the coronavirus pandemic. Trump has questioned US funding to the United Nations, withdrawn from global climate agreements and lambasted the World Trade Organization — claiming all were ripping off the United States.

Democratic Sen. Chris Murphy of Connecticut, who serves on the Senate Foreign Relations Committee, said earlier Tuesday that while the WHO and China “made mistakes,” Trump is also looking to deflect blame from his own administration. “Right now, there is a very coordinated effort amongst the White House and their allies to try to find scapegoats for the fatal mistakes that the President made during the early stages of this virus,” he said. Murphy added: “It is just wildly ironic that the President and his allies are now criticizing China or the WHO for being soft on China when it was in fact the President who was the chief apologist for China during the early stages of this crisis.”

Just days before Trump instituted his ban on travelers from China, he also was praising the country. On January 24, Trump tweeted: “China has been working very hard to contain the Coronavirus. The United States greatly appreciates their efforts and transparency. It will all work out well. In particular, on behalf of the American People, I want to thank President Xi!”

Tuesday’s announcement about the halting of funding came days after a major US ally — the United Kingdom — announced an additional £65 million contribution to the WHO.

[CNN]

The poor losing vital remittance payments

Osigan Caseres lost her job as a maid and no longer sends home $300 each month to her daughters in the Philippines to buy food for her eight grandchildren.

In Somalia, Asha Mohamed Ahmed no longer receives the $400 her daughter used to provide from working at a Minneapolis hotel to cover the family’s monthly bills. And in Mexico, Rosy worries how she will afford to buy medicine for her diabetic mother without the money her brother used to send before being furloughed at an Idaho ranch.

They are all economic victims of the novel coronavirus. As hundreds of millions of people around the world grapple with job losses, business closures and lockdowns, many are no longer able to help poorer relatives in developing nations whose lives can hinge on these payments. Billions of dollars in remittances from wealthier nations to poorer ones may be vanishing, threatening the welfare of millions of families globally and the health of their countries in the months ahead, economists say.

[The Washington Post]

Virus could push half a billion people into poverty

The economic fallout from coronavirus could increase global poverty by up to half a billion, Oxfam has warned. “The economic crisis is potentially going to be even more severe than the health crisis,” said their report. It estimates a 400-600 million rise in poverty numbers globally.

Using research by the Australian National University (ANU) and Kings College, London, the charity says it will be the first time poverty has risen globally in 30 years.

The report says the potential impact of the virus poses a real challenge to the United Nations Sustainable Development Goal of ending poverty by 2030. By the time the pandemic is over, half of the world’s population of 7.8 billion people could be living in poverty. About 40% of the new poor could be concentrated in East Asia and the Pacific, with about one third in both Sub-Saharan Africa and South Asia.

Danny Sriskandarajah, Oxfam GB’s chief executive, said: “For billions of workers in poor countries who were already scraping by, there are no safety nets such as sick pay or government assistance.

“Next week’s World Bank and G20 meetings are an important opportunity for world leaders to collaborate on a joint economic rescue package to protect the most vulnerable people.”

Earlier this week, more than 100 global organizations called for debt payments to be waived this year for developing countries, which would free up $25bn (£20bn) in cash to support their economies.

[BBC]

Putin sending medical supplies to help U.S. fight coronavirus

Russia is sending the United States medical equipment to help fight the coronavirus outbreak, the Interfax news agency reported on Tuesday, citing the Kremlin spokesman Dmitry Peskov.

President Vladimir Putin made the proposal in a phone conversation with President Donald Trump on Monday.

“Trump gratefully accepted this humanitarian aid,” Interfax quoted Peskov as saying. A Russian plane with medical and protective equipment may leave for the United States on Tuesday, he added.

Confirmed U.S. cases have surged to nearly 180,000 with 16,000 new positive tests reported on Tuesday. For a second day in a row, the United States recorded more than 500 new deaths as the total climbed to nearly 3,600, according to a Reuters tally of officially reported data.

The state of relations between Moscow and Washington has been complicated in recent years due to U.S. sanctions on some of Russian companies in response to Russia’s annexation of Crimea in 2014 and Russian support for separatists in eastern Ukraine, among other strains.

“It is important to note that when offering assistance to the U.S. colleagues, the president (Putin) assumes that when U.S. manufacturers of medical equipment and materials gain momentum, they will also be able to reciprocate if necessary,” he added.

He also said that Russia and China cooperated in a similar way now as “at a time when the current situation affects everyone without exception …, there is no alternative to working together in a spirit of partnership and mutual assistance”.

[Reuters]