Pakistan battles tsunami of Covid-19 patients with few vaccines in sight
(CNN)Keeping vigil outside the hospital ward in Karachi, Daniyal Ameen watched his father breathing through a ventilator via a live video link from the intensive care unit (ICU).
He came every day to see his father, 73-year-old Muhammad Ameen, as he spent weeks on oxygen battling Covid-19. The video link was set up at the private South City Hospital in Karachi to enable relatives to feel closer to their loved ones in the ICU, as visits inside that facility are prohibited.
The screen is the closest Ameen has come to seeing his father for about 18 months. The 33-year-old flew back to Pakistan from his home in Melbourne, Australia, when his dad was hospitalized.
"Seeing him on a screen like that was pretty traumatizing for me," said Ameen. "We told him that yes, I am here, and I want to see him healthy and smiling back again."
But Ameen's father didn't survive. Instead, he became one of thousands of Pakistanis to die from the virus.
Daniyal Ameen and his father, Muhammad Ameen, at the Australian Open in 2020. Muhammad passed away from Covid-19 after being on a ventilator for two weeks in the ICU of South City Hospital in Karachi.
For many countries struggling in the Western world as winter cases surge, the arrival of vaccines has provided a light at the end of the tunnel. But in places like Pakistan, that tunnel remains in near darkness.
"The vaccine is not here in this country for the foreseeable future," says Dr. Nashwa Ahmad, Coordinator of Covid Services and Research and Development at South City Hospital.
"That means our health care workers still have to continue to do their jobs, (and) endless hours, without the protection of the vaccine.
"A vaccine would definitely have given us the additional boost we needed to continue on with fighting the disease."
The hospital has been overwhelmed with "a tsunami of patients," Ahmad says. The three Covid-19 ICU wards are full, and more patients are waiting in ambulances outside.
"We are full, we have patients waiting, we have families who are suffering, we have patients at home, sick patients at home, patients who are on oxygen, we just don't have space in hospitals," she says.
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A sign at South City Hospital, a private hospital in Karachi which has stopped taking Covid-19 patients as all its ICU beds are full.
So far, Pakistan has officially recorded more than half a million cases of Covid-19, and more than 11,600 related deaths -- although health officials tell CNN that testing is not sufficient to reflect the true picture.
Pakistan has secured 1.2 million doses from China's Sinopharm, with 500,000 expected to arrive this weekend, but they will barely make a dent in vaccinating the country's population of 216 million.
Health workers in major cities are due to start receiving shots next week, and negotiations are underway for vaccines from other manufacturers, says Asad Umar, the chief of the National Command and Operations Centre.
Pakistan's health minister confirmed this week that his country will also receive 17 million doses of AstraZeneca's coronavirus vaccine in 2021.
About 6 million of those doses are expected in the country in March with the remaining batches following in the second quarter of the year.
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For Daniyal Ameen in Karachi, the option of paying for his family to receive vaccines abroad is an attractive prospect.
As well as losing his father to Covid-19, his mother was also hospitalised with the coronavirus, although she has since recovered.
"If there is an opportunity for me to get myself or my family vaccinated, of course I'm going to get that," he says. "Whatever it takes to do that, because I have seen that very personally that all my family members were affected by Covid."
https://www.cnn.com/2021/01/30/asia/coronavirus-vaccine-divide-pakistan-dst-intl-hnk/index.html
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With such a situation, it's idiotic to even debate about the source of the vaccine. Every single person will do whatever it takes to save their loved ones. Some may have the means to go outside to take it, but it is not an option for everyone. This debate is non-sense.
Pakistan has so far not ordered vaccine in big numbers. The best chance to get some vaccine will be via the COVAX initiative which is reserved for the poorest 20% of the world population. US committed 4B for this in Dec. I wish they had done it earlier. Other 2.4B commitments came immediately. Funding is not a huge issue anymore for COVAX. It's a question of scaling the manufacturing to get vaccine quickly.
Simply getting vaccines to the top 15-20% most vulnerable population will save tons of life. Hopefully, Pakistan can get a large supply later this year. It will need a minimum of 50-60 M of doses to make a huge dent in this pandemic. COVAX will provide 15-17M to Pakistan. It needs at least another 40M doses. Getting it from China, India or UK is not relevant. Getting it quickly is the only relevant aspect here. Pakistani elite may get their hands on small initial doses, but that's not going to help others.
I also expect richer countries to start donating extra vaccine which they have bought in advance. Many don't need that many doses. China is slow to ramp up production. Hopefully, they do ramp up quickly to supply as well. The world needs as many sources as possible right now and we need them quickly.
It will be great to see at least 50% of the world's population vaccinated this year.