Skip to main content

New top story from Time: Amid the Pandemic, Medical Oxygen Is in Critically Short Supply in Africa and Latin America

https://ift.tt/3bBWQgD

DAKAR, Senegal — A crisis over the supply of medical oxygen for coronavirus patients has struck nations in Africa and Latin America, where warnings went unheeded at the start of the pandemic and doctors say the shortage has led to unnecessary deaths.

It takes about 12 weeks to install a hospital oxygen plant and even less time to convert industrial oxygen manufacturing systems into a medical-grade network. But in Brazil and Nigeria, as well as in less-populous nations, decisions to fully address inadequate supplies only started being made last month, after hospitals were overwhelmed and patients started to die.

The gap in medical oxygen availability “is one of the defining health equity issues, I think, of our age,” said Peter Piot, director of the London School of Hygiene & Tropical Medicine, who said he survived a severe coronavirus infection thanks to the oxygen he received.

Doctors in Nigeria anxiously monitor traffic as oxygen deliveries move through the gridlocked streets of Lagos. There and in other countries, desperate families of patients sometimes turn to the black market. Governments take action only after hospitals are overwhelmed and the infected die by the dozens.

In Brazil’s Amazonas state, swindlers were caught reselling fire extinguishers painted to look like medical oxygen tanks. In Peru, people camped out in lines to get cylinders for sick relatives.

Only after the lack of oxygen was blamed for the deaths of four people at an Egyptian hospital in January and six people at one in Pakistan in December did governments address the problems.

John Nkengasong, director of the Africa Centers for Disease Control and Prevention, said medical oxygen is a “huge critical need” across the continent of 1.3 billion people and is a main reason that COVID-19 patients are more likely to die there during a surge of cases.

Even before the pandemic, sub-Saharan Africa’s 2,600 oxygen concentrators and 69 functioning oxygen plants met less than half the need, leading to preventable deaths, especially from pneumonia, said Dr. John Adabie Appiah of the World Health Organization.

The number of concentrators has grown to about 6,000, mostly from international donations, but the oxygen produced isn’t pure enough for the critically ill. The number of plants that can generate higher concentrations is now at 119.

Nigeria was “struggling to find oxygen to manage cases” in January, said Chikwe Ihekweazu, head of its Centre for Disease Control.

A main hospital in Lagos, a city of 14.3 million, saw its January virus cases increase fivefold, with 75 medical workers infected in the first six weeks of 2021. Only then did President Muhammadu Buhari release $17 million to set up 38 more oxygen plants and another $670,000 to repair plants at five hospitals.

Some oxygen suppliers have dramatically raised prices, according to a doctor at the Lagos University Teaching Hospital who spoke on condition of anonymity because he was not allowed to talk to reporters. That has driven up the cost of a cylinder by 10 times, to $260 — more than the average monthly wage — and a critically ill patient could need up to four cylinders a day.

Money and influence don’t always help.

Femi Odekunle, a Nigerian academic and close ally of the president, went without adequate oxygen for nearly 12 days at the Abuja University Teaching Hospital until two state governors and Ministry of Health officials intervened. He died anyway, and relatives and friends blame the oxygen shortage, the online newspaper Premium Times reported. The hospital attributed his death to his severe infection.

In Malawi, the president promised funding for protective gear for medical workers and the immediate purchase of 1,000 oxygen cylinders, adding that he would fly them in, if needed.

Corruption was blamed for defects in a new oxygen plant at a hospital in Uganda’s capital of Kampala, the Daily Monitor newspaper reported in November. Workers had to rely on rusty oxygen cylinders that were blamed for the deaths of at least two patients.

“While top health officials basked in the oxygen of good publicity, patients were literally choking to death,” the newspaper said. “It appears that behind the delays and the funding gaps, corners were being cut.”

Leith Greenslade, coordinator of the Every Breath Counts Coalition, which advocates for wider access to medical oxygen, said the looming shortages were apparent last spring.

“Very little was done. Now you have a second wave, not just in Africa but in Latin America and Asia and the oxygen shortages are becoming at crisis levels,” she said.

The World Bank has set aside $50 billion for the world’s poorest countries alone, but only $30.8 billion has been committed, including $80 million for oxygen-related upgrades after requests from Afghanistan, Bangladesh, Benin, the Central African Republic, Chad, Congo, Gambia, Ghana, Grenada, Kenya, Mali, Rwanda, Sierra Leone and Tajikistan. That leaves nearly $20 billion available between now and a June 2021 deadline to spend it, the World Bank said.

“We make money available for countries, but it’s countries, governments who have to make a decision about how much they spend and what they spend it on,” said Dr. Mickey Chopra, who helps with the World Bank’s global medical logistics response.

Many countries view oxygen supplies primarily as an industrial product for more lucrative sectors such as mining, not health care, and it has not been a focus of many international donors. Oxygen manufacturing plants require technicians, good infrastructure and electricity — all in short supply in developing nations.

The main provider of medical oxygen to Brazil’s Amazonas state, White Martins, operated at half capacity before the pandemic. The first infections hit the isolated city in March and led to so many deaths that a cemetery was carved out of the jungle.

Doctors in its capital of Manaus were forced last month to choose which patients to treat as oxygen supplies dwindled.

Brazil’s Supreme Court began an investigation into management of the crisis after White Martins said an “unexpected increase in demand” led to shortages.

“There was a lack of planning on behalf of the government,” said Newton de Oliveira, president of Indústria Brasileira de Gases, a major oxygen supplier.

Only after deaths averaged 50 a day did the government say it would build 73 oxygen plants in the state. Within a month, 26 were up and running.

Shortages remain critical in Peru, where Dani Luz Llamocca waited five days outside a distribution center in Lima, saying her virus-stricken father was down to less than half a tank of oxygen. She was willing to wait as long as it took. “If not, my father will die,” said Llamocca.

The WHO’s Appiah said countries with mining industries could, with few changes, convert their systems to produce medical-grade oxygen.

India’s national trade body for gas makers suggested just that in April 2020, when the virus caseload was relatively low. Industrial storage tanks were repurposed at hospitals, said Surendra Singh, a manager for the Indian division of the multinational Linde corporation.

“It’s not rocket science,” said Saket Tiku, president of the All India Industrial Gases Manufacturers Association. “The decision saved thousands of lives.”

___

Hinnant reported from Paris. Aniruddha Ghosal in New Delhi, Franklin Briceño in Lima, Peru; Sam Magdy in Cairo, Diane Jeantet in Rio de Janeiro, Sam Olukoya and Lekan Oyekanmi in Lagos, Nigeria, Cara Anna in Nairobi, Kenya, Riaz Khan in Peshawar, Pakistan, and Rodney Muhumuza in Kampala, Uganda, contributed.

 

Comments

Popular posts from this blog

New top story from Time: House Passes President Biden’s $1.9 Trillion COVID-19 Relief Bill

https://ift.tt/2ZVMCSX WASHINGTON — The House approved a $1.9 trillion pandemic relief bill in a win for President Joe Biden, even as top Democrats tried assuring agitated progressives that they’d revive their derailed drive to boost the minimum wage. The new president’s vision for flushing cash to individuals, businesses, states and cities battered by COVID-19 passed on a near party-line 219-212 vote early Saturday. That ships the massive measure to the Senate, where Democrats seem bent on resuscitating their minimum wage push and fights could erupt over state aid and other issues. Democrats said the still-faltering economy and the half-million American lives lost demanded quick, decisive action. GOP lawmakers, they said, were out of step with a public that polling shows largely views the bill favorably. “I am a happy camper tonight,” Rep. Maxine Waters, D-Calif., said Friday. “This is what America needs. Republicans, you ought to be a part of this. But if you’re not,

New top story from Time: Latest Tests Bring Israel a Step Closer to Commercial Drones

https://ift.tt/3lyZxGe TEL AVIV, Israel — Dozens of drones floated through the skies of Tel Aviv on Monday, ferrying cartons of ice cream and sushi across the city in an experiment that officials hope provided a glimpse of the not-too-distant future. Israel’s National Drone Initiative, a government program, carried out the drill to prepare for a world in which large quantities of commercial deliveries will be made by drones to take pressure off highly congested urban roads. The two-year program aims to apply the capabilities of Israeli drone companies to establish a nationwide network where customers can order goods and have them delivered to pick up spots. [time-brightcove not-tgx=”true”] The project, now in the third of eight stages, is still in its infancy and faces many questions about security and logistics. “We had 700 test flights at the start of this year and now we are close to 9,000 flights,” said Daniella Partem, from Israel Innovation Authority, a partner in th

https://ift.tt/eA8V8J सिद्धार्थ रॉय कपूर फिल्म्स कि अगली सीरीज़ विलियम डेलरिम्पल कि बेस्टसेलर, 'द एनार्की: पर आधारित होगी

सिद्धार्थ रॉय कपूर के प्रोडक्शन 'रॉय कपूर फिल्म्स' ने हालही में अवार्ड विनिंग इतिहासकार और लेखक विलियम डेलरिम्पल की बेस्ट सेलिंग हिस्टोरिकल बुक ‘द अनार्की: द रिलेंटलेस राइज़ ऑफ़ द ईस्ट इंडिया कंपनी' के आधिकारिक राइट्स हासिल कर इसे सीरीज़ के from टेलीविजन की खबरें | Television News in Hindi | TV Serials Update in Hindi – FilmiBeat Hindi http:/hindi.filmibeat.com/television/siddharth-roy-kapoor-next-web-series-will-be-based-on-anarchy-090499.html?utm_source=/rss/filmibeat-hindi-television-fb.xml&utm_medium=23.11.231.156&utm_campaign=client-rss

New top story from Time: Japan’s Prime Minister Abe Reportedly Stepping Down Over Health Concerns

https://ift.tt/32yNoGh (TOKYO) — Japan’s Prime Minister Shinzo Abe has expressed his intention to step down due to his declining health, according to reports Friday by NHK and other Japanese media. The Prime Minister’s Office said the report could not be immediately confirmed, but that Abe was believed to be meeting top ruling officials at the party headquarters. The Liberal Democratic Party spokesman did not answer the phone. Concerns about Abe’s chronic health issues, simmering since earlier this summer, intensified this month when he visited a Tokyo hospital two weeks in a row for unspecified health checkups. Abe, whose term ends in September 2021, is expected to stay on until a new party leader is elected and formally approved by the parliament. He had abruptly resigned from his first stint in office in 2007 due to his health, which was fueling concerns about his recent condition. Abe on Monday became Japan’s longest serving prime minister by consecutive days in of

New top story from Time: Justice Department Charges 8 in Chinese Harassment Plot in U.S.

https://ift.tt/37P9856 (WASHINGTON) — The Justice Department has charged eight people with working on behalf of the Chinese government in a pressure campaign aimed at coercing a New Jersey man who was wanted by Beijing into returning to China to face charges, officials said Wednesday. The prosecution, which Justice Department officials said was the first of its kind, accuses the defendants of participating in a Chinese government operation known as “Fox Hunt” that was ostensibly created to help Beijing locate fugitives abroad but that U.S. officials say in practice relied on intimidation and bullying to go after dissidents and political opponents. Five of the eight, including an American private investigator who was hired as part of the effort, were arrested Wednesday. The other three are believed to be in China. All eight were charged with conspiring to act as illegal agents for China in a case filed in federal court in Brooklyn. “Without coordination with our governmen

New top story from Time: The Reopening of Springsteen on Broadway Brought Broadway Out of Hibernation—and One Packed Theater Into a Brighter Future

https://ift.tt/3A6wS0a The city that never sleeps is still a little sleepy, unsure of how to move its joints and muscles as it awakens from its forced hibernation . Although Times Square is now almost as brightly lit as ever, it’s remarkably hard to find a bar that will serve a drink after 11 p.m. On a late-June Saturday night, Eighth Ave. around 42nd Street was vibrating with young people: guys imported from the outer boroughs and beyond in their baggy, rumpled shorts, young women in elastic spangled mini-dresses making their first outing after a year lying in a drawer, men in mardi gras beads and the tiniest of tank tops ready to make the most of the final days of Pride month . Yet it was hard to know exactly what all these people were doing there, other than taking their place in a kind of Brownian-movement minuet under the cheerfully garish lights. Because Times Square cannot be itself while Broadway—meaning not the actual street but the constellation of live shows around

More 20 MPH Streets Coming Soon Near You

More 20 MPH Streets Coming Soon Near You By Christine Osorio Last October when California Assembly Bill 43 (Friedman) was signed into law, we posted a blog about which gave cities new flexibility in setting speed limits—specifically reducing them. “Speed Management,” a reference that is still in development, focused on reducing speed limits in key business activity districts where at least 50% are dining or retail. Since the bill went into effect last month, we’ve already started lowering speed limits by 5 MPH (from 25 MPH to 20 MPH) in the first phase of approved corridors, four of which have been implemented:  San Bruno Avenue, from Silver to Paul avenues (Completed January 2022)  Polk Street, from Filbert to Sutter streets (Completed January 2022)  Haight Street, from Stanyan Street to Central Avenue and from Webster to Steiner streets (Completed February 2022)  24th Street, from Diamond to Chattanooga streets and from Valencia Street to San Bruno Avenue (Completed

New top story from Time: Department of Homeland Security Warns of Politically Motivated Violence

https://ift.tt/2NINiIA WASHINGTON — The Department of Homeland Security issued a national terrorism bulletin Wednesday warning of the lingering potential for violence from people motivated by antigovernment sentiment after President Joe Biden’s election, suggesting the Jan. 6 riot at the Capitol may embolden extremists and set the stage for additional attacks. The department did not cite any specific plots, but pointed to “a heightened threat environment across the United States” that it believes “will persist” for weeks after Biden’s Jan. 20 inauguration. It is not uncommon for the federal government to warn local law enforcement through bulletins about the prospect for violence tied to a particular event or date, such as July 4. But this particular bulletin, issued through the department’s National Terrorism Advisory System, is notable because it effectively places the Biden administration into the politically charged debate over how to describe or characterize acts

In-Person Pride Parade & Celebrations Return This Month!

In-Person Pride Parade & Celebrations Return This Month! By Pamela Johnson The SFMTA is happy to join San Francisco Pride celebrations when they return to in-person events this month as the city continues its recovery from the pandemic. This year’s theme is “Love will Keep Us Together.” The Trans March is happening on Friday, June 24 and the Pride Parade is on Sunday, June 26. SFMTA staff are, of course, an important part of the LGBTQIA+ community that keeps SF moving with Pride. Pride is an opportunity for us to demonstrate our continued support of the LGBTQIA+ community, promoting our core values of respect, inclusivity and integrity.  History/Background of SF Pride   San Francisco had its first Pride celebration in 1970. For more than three decades the LGBTQIA+ community and their allies have been moving San Francisco forward to become a better, safer, and more equitable world for the LGBTQIA+ community and the city a better place for people to live, work and enjoy.    His

New top story from Time: ‘Do Not Hold Grudges.’ Joe Biden’s Notes Reveal Talking Points About Kamala Harris

https://ift.tt/2X4natB (WILMINGTON, Del.) — Joe Biden was uncharacteristically tight-lipped on Tuesday about the final stretch of his search for a vice president. But the presumptive Democratic presidential nominee seemed prepared to talk about at least one leading contender: California Sen. Kamala Harris. As he took questions from reporters on Tuesday, Biden held notes that were captured by an Associated Press photographer. Harris’ name was scrawled across the top, followed by five talking points. “Do not hold grudges.” “Campaigned with me & Jill.” “Talented.” “Great help to campaign.” “Great respect for her.” Those are all observations Biden has made about Harris before. But they take on new significance following a recent Politico report that one of Biden’s closest friends and a co-chair of his vice presidential vetting committee, former Connecticut Sen. Chris Dodd, still harbors concerns about Harris’ tough debate stage performance and that she hasn’t expressed reg