The Gaza Strip has faced massive destruction due to Israeli-led blockade since 2007. Israel controls all the entry and exit points of Gaza which it uses to restrict the movement of goods and people between Gaza and the outside world, effectively turning it into the “largest open-air prison” in the world. Gaza, as a result of the humanitarian crisis since the last 13 years is now one of the most densely populated yet the poorest spaces in the world. This has adversely impacted the delivery of public services, including healthcare service in Gaza strip. According to the head of the International Committee of the Red Cross (ICRC) sub-delegation to Gaza, Ignacio Casares, the health system in Gaza “is already overstretched, already at its limit,”. Daily power cuts and irregular electricity supply add on to this which forces Doctors to rely on generators during emergencies. This horrible condition was documented earlier as well in a 2017 UN Report which stated that the Gaza Strip would be “unlivable” by 2020.
The 13 years long blockade has forced the government as well as people living in Gaza to manage the harsh conditions with the meagre resource at their disposal. The WHO had pointed out in a report last year that all the patients and their companions were required to apply for Israeli permits to exit the Gaza Strip for accessing the hospitals in the West Bank, including East Jerusalem, and Israel,". "Access has been particularly problematic in 2019, with the patient permit approval rate declining”.
People in Gaza strip are now battling the COVID-19 pandemic also with the help of simple whatever meagre resources at their disposal. The healthcare and other authorities understood that they would not be able to provide the hospitalization if the pandemic broke out, so they took some immediate steps to contain the COVID-19 from the early stage. The places of large public gathering like street markets, shops, shopping malls, wedding halls were ordered to lock down by State authorities. A senior official with the Hamas movement said at a news conference that officials were considering imposing a curfew. Using the traditional methods, the authorities built more than 1000 quarantine rooms in the Gaza Strip. Palestinian Ministry of Health states that quarantine centres are established in three places: Rafah, Deir Al-Balah, and Khan Younis. More than 1000 people who came from the Israel and Egypt borders were quarantined in schools, hotels, and hospitals.
With the increase in the number of cases, society started displaying anxiety and fear but it was overcome by mutual cooperation. The State of Palestine and its citizens has proved that the constraints cannot become an obstacle in dealing with the pandemic.
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Our relationship with the new strain of coronavirus is almost 8 months strong now. Countries like the US, Russia, UK, China, India, and many more have already set their brainy scientists in the task of developing a vaccine, turning it into a race which desperately needs a winner, since no one wants this deadly relationship to endure. Several attempts have proved to be successful, especially in countries like Russia, USA, India, and China.
China was the first to start scouring for a vaccine the day WHO declared that the new strain of SARS-CoV, originating in Wuhan-China, has resulted in a pandemic. It is a fierce competitor, especially to the US, as almost 8 of the 24 promising vaccines approved for clinical trials are from China. It used the technology of ‘inactivated vaccine’ which basically means killing the actual virus and using that to create a vaccine. This method is quite useful in treating measles and influenza, thus, increasing the chances of success in the case of COVID-19 as well.
“It’s a tried and true strategy”, Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia, said about the inactivated vaccine. One potential vaccine from China-based Sinopharm is already in the phase 3 of trials whereas Sinovac will enter the third phase this month. Moreover, China has permitted Sinovac and Sinopharm to dilute phase 1 and 2 of vaccine trials on humans to hasten the process.
The head of the Chinese Center for Disease Control and Prevention, Gao Fu, had also been injected with a potential vaccine on July 28, 2020. “I’m going to reveal something undercover: I am injected with one of the vaccines'' Gao Fu said in a webinar hosted by Alibaba Health, an arm of the Chinese e-commerce giant, and Cell Press, an American publisher of scientific journals. However, he did not reveal any more details about how and when exactly he administered himself with the vaccine and ‘hopes’ that the vaccine works.
Vladimir Putin, President of Russia | Source: Wikimedia
Elsewhere in Russia, on August 11, 2020, President Vladimir Putin proudly announced that Russia was the first country to grant regulatory approval to their vaccine after carrying out human trials for less than 2 months by the Gamalei Institute in Moscow. Regulatory approval permits vaccination of the masses. Although it has not undergone phase 3 of trials, Russia expects to initiate mass production of the vaccine by the end of this year. Kirill Dmitriev, head of Russia's sovereign wealth fund states that the vaccine will be called ‘Sputnik V’, named after Sputnik 1, the first satellite launched by Soveit Union which was a euphoric moment for Russia. More recently, China and Russia have joined hands in proceeding with the clinical trials of their vaccines.
These two instances seem to bring a new hope for the future, yet raise alarms and invite scepticism from the experts in the field of public health. One major concern is that without prolonged trials, vaccines should not be authorized for public use. Anthony Fauci, an infectious disease expert based in the US said “I do hope the Chinese and the Russians are actually testing the vaccines before they are administering the vaccine to anyone. Because claims of having a vaccine ready to distribute before you do testing is problematic at the very least”. Hence, some people are still in doubt regarding the safety of the product. Putin, however, rubbished such concerns and said "I know that it works quite effectively, forms strong immunity, and I repeat, it has passed all the needed checks".
An Indian biotechnological company, Bharat Biotech developed ‘Covaxin’ in collaboration with Indian Council for Medical Research (ICMR), using the mechanism of inactivated vaccine. It was successful in getting approval for human trials which were scheduled to begin in July, 2020. Initial reports stated that it would be ready for mass use by August 15, 2020, which also marked the 73rd Independence Day of India. However, Bharat biotech was clear in letting the public know that phase 1 of the trials are still on-going. ICMR cleared the confusion by stating that it would prepare the results of the phase 1 trials by August 15, 2020, not the actual vaccine for use. Phase 2 of the trials are awaited in September, 2020.
So far, the results of phase 1 trials have been positive as no serious side-effects are observed in the vaccine candidates. “The vaccine has been safe. No adverse effect has been reported. Even the point of injection pain, which is normal in vaccines, has been very mild” said Dr Kushwaha of Prakhar Hospital.
Meanwhile, the South Korean government stated on August 21, 2020, that it will secure adequate vaccine supply to its citizens by cooperating with international bodies and promoting local drug development. Three South Korean companies have started the process of making a vaccine and all are in the clinical trial phase. Bill Gates asserts that the South Korean pharmaceutical company, SK Bioscience, will have around 200 million vaccine doses ready by June 2021.
Japan is jointly collaborating with the UK, France and other European countries to establish a $20 billion fund to buy coronavirus vaccines, with Japan pledging a contribution of $800 million. It’s vaccine program aims to focus on giving primary attention to its medical workers and the elderly people of the country when the first doses of the vaccine are made. The state-funded vaccination program is believed to be officially adopted by Japan in September this year with negotiations with the UK and US based drug makers already in place.
With the race to bring COVID-19 vaccine seemingly coming to a close and it will hopefully be ready by the end of 2020 or early 2021. Till then, the entire world is watching this race with bated breath.
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