‘We have 30 doses… we need two million’: The mountain kingdom left behind in the race to vaccinate the world
There is an old, corrugated hanger in the centre of Maseru, the diminutive capital of the kingdom of Lesotho and through the doors we could hear the words of prayer.
Inside, amongst the wings and tails of several brightly coloured aeroplanes, there were medics and mechanics getting themselves ready for the day ahead.
Lesotho’s Flying Doctor Services serve 11 isolated clinics in this rugged and impoverished nation.
The government-run unit is assisted by a Christian charity called the Mission Aviation Fellowship and together they provide medical services and emergency treatment to communities that are completely inaccessible by road.
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The flying doctors unit, helped by a Christian charity, delivers a small batch of vaccines to a community called Kuebunyani
Yet the team that runs this service has been presented with a new and weighty task.
As COVID-19 spreads and mutates in southern Africa, its members have been asked to deliver and administer vaccines to much of the nation.
Lesotho acquired a batch of 36,000 AstraZeneca vaccines through the UN-backed COVAX facility in March and health workers were prioritised for their first dose.
The French government donated an additional consignment to ensure they are fully protected but the vast majority of 2.2 million Basothos have yet to receive a vaccine.
The flying doctors are doing what they can and we followed them for the day as they delivered a small batch of vaccines to a community called Kuebunyani.
It was a complicated trip as the pilot had to pick up a box of AstraZeneca vaccines in another community, called Thaba Tskeko. Its hospital still had a few vials left.
Flying Doctor Services’ medic, Dr Justin Cishiya, talks to Sky’s John Sparks
“How many vaccines have you got now,” I asked the Flying Doctor Services medic, Dr Justin Cishiya.
“For now we are having 30 doses.”
“How many are you going to need in total?”
“In total, we will need, let me estimate, two million doses.”
We strapped our precious box in the back of the plane and headed east in the direction of Kuebunyani.
Kuebunyani clings to the slopes of the Maloti range and the pilot had to negotiate its rudimentary airstrip
This district of some 10,000 people clings to the slopes of the Maloti range and the pilot had to negotiate its rudimentary airstrip.
Our cargo was then handed over to a nurse called Paul Enock.
“How many people have been vaccinated here so far?” I asked.
Lesotho’s Flying Doctor Services serve 11 isolated clinics in the rugged and impoverished nation
“So far 73, yes, mostly the village health workers and the health centre committee and some of our staff members.”
“You are going to need a lot more,” I said.
“Yes, especially for the people (who live) here, yes.”
Lesotho acquired a batch of 36,000 AstraZeneca vaccines through the COVAX scheme
It may be an isolated spot but the message has gone out about COVID-19 as the third wave of infection begins to take hold in Africa.
Cases are on an upward trend in 14 countries and in the past week, new cases rose by more than 30% in eight countries.
In Kuebunyani, we watched as local residents begin to congregate. Some had left their homes the day before to reach the clinic.
One doctor said Lesotho needs an estimated two million vaccines
I stopped a 77-year old called Frank Molefi.
“Why do you want to get a COVID vaccine?” I asked.
“It is you (the health workers) who told me to come here,” he said, bursting into laughter.
“Do you think the virus could come here to the mountains?”
People in Kuebunyani receive the vaccine
“Here? Of course, it will come here because human beings live here.”
Several village health workers, a local official and a handful of senior citizens with chronic conditions were offered these precious vaccines and one man told us he felt fortunate to receive one.
The supply of vaccines to Africa has ground to a halt with the India-based makers of the AstraZeneca vaccine now concentrating production at home.
The distribution of Johnson & Johnson vaccines has been blocked after a batch was contaminated in the United States.
Sky News understands there are one million J&J vaccines “ready to be shipped within an hour” from a factory in neighbouring South Africa but the manufacturer cannot get clearance to move them.
Only 1% of the public has been inoculated in sub-Saharan Africa
In response the World Health Organisation and others are pleading with wealthy nations to move immediately and donate their stocks.
Seven countries have said they will make contributions via COVAX but only France has actually delivered the goods.
As we left Kuebunyani we asked an administrative nurse, Mampho Leleka, what she thought of the discrepancy in vaccines between rich and poor countries.
“We are not comfortable, it is not fair at all. It has to be rolled out as (quickly) as possible because this pandemic is killing people.”
This mountain kingdom – like much of Africa – has been left behind in the race to vaccinate the public.
Only 1% of the public has been inoculated in sub-Saharan Africa. But this shapeshifting virus is encircling the world and the protection of Basothos should become everyone’s responsibility.
The twin threats of climate change and Russian malign activity in the Arctic must be taken “deadly seriously,” David Lammy has warned.
Sky News joined him on the furthest reaching tour of the Arctic by a British foreign secretary.
We travelled to Svalbard – a Norwegian archipelago that is the most northern settled land on Earth, 400 miles from the North Pole.
It is at the heart of an Arctic region facing growing geopolitical tension and feeling the brunt of climate change.
Mr Lammy told us the geopolitics of the region must be taken “deadly seriously” due to climate change and “the threats we’re seeing from Russia”.
We witnessed the direct impact of climate change along Svalbard’s coastline and inland waterways. There is less ice, we were told, compared to the past.
David Lammy and Norway’s Foreign Minister Barth Eide view the melting Blomstrandbreen glacier. Pic: PA
The melting ice is opening up the Arctic and allowing Russia more freedom to manoeuvre.
“We do see Russia’s shadow fleet using these waters,” Mr Lammy said. “We do see increased activity from submarines with nuclear capability under our waters and we do see hybrid sabotage of undersea cables at this time.”
In Tromso, further south, the foreign secretary was briefed by Norwegian military commanders.
The foreign secretary visiting SvalSat, a satellite ground station which monitors climate in Svalbard. Pic: PA
Vice Admiral Rune Andersen, the Chief of Norwegian Joint Headquarters, told Sky News the Russian threat was explicit.
“Russia has stated that they are in confrontation with the West and are utilising a lot of hybrid methods to undermine Western security,” he said.
But it’s not just Vladimir Putin they’re worried about. Norwegian observers are concerned by US president Donald Trump’s strange relationship with the Russian leader too.
Norwegian observers are concerned about the Russian leader – and Trump being ‘too soft’ on him. Pic: AP
Karsten Friis, a Norwegian defence and security analyst, told Sky News: “If he’s too soft on Putin, if he is kind of normalising relations with Russia, I wouldn’t be surprised.
“I would expect Russia to push us, to test us, to push borders, to see what we can do as Europeans.”
Changes in the Arctic mean new challenges for the NATO military alliance – including stepping up activity to deter threats, most of all from Russia.
More from Sky News:
Trump doubles down on Putin criticism
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In Iceland, we toured a NATO airbase with the foreign secretary.
There, he said maintaining robust presence in the Arctic was essential for western security.
“Let’s be clear, in this challenging geopolitical moment the high north and the Arctic is a heavily contested arena and we should be under no doubt that NATO and the UK need to protect it for our own national security.”
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This is also about distracting Russia, drawing away resources that could have been used in the war in Ukraine and deterring it in the future.
Because the more Arctic opens up, the more this once pristine wilderness is becoming the arena of national rivalry and potentially conflict.
World
‘What did they do to be burned and bombed?’: Charity calls on UK to offer Gaza children life-saving treatment
A British charity has written to the prime minister and foreign secretary, urging them to allow seriously ill children from Gaza into the UK to receive life-saving medical treatment.
Warning: This article contains images readers may find distressing
The co-founder of Project Pure Hope told Sky News it was way past the time for words.
“Now, we need action,” Omar Dinn said.
He’s identified two children inside Gaza who urgently need help and is appealing to the UK government to issue visas as a matter of urgency.
Israel-Gaza latest: Netanyahu reportedly accepts US ceasefire plan
Britain has taken only two patients from Gaza for medical treatment in 20 months of Israeli bombardment.
Children are among the bulk of the casualties in Gaza
“Most of the people affected by this catastrophe that’s unfolding in Gaza are children,” he continued. “And children are the most vulnerable.
“They have nothing to do with the politics, and we really just need to see them for what they are.
“They are children, just like my children, just like everybody’s children in this country – and we have the ability to help them.”
Sky News has been sent video blogs from British surgeons working in Gaza right now which show the conditions and difficulties they’re working under.
They prepare for potential immediate evacuation whilst facing long lists, mainly of children, needing life-saving emergency treatment day after day.
Dr Victoria Rose is a British surgeon working in southern Gaza’s last remaining hospital
Dr Victoria Rose told us: “Every time I come, I say it’s really bad, but this is on a completely different scale now. It’s mass casualties. It’s utter carnage.
“We are incapable of getting through this volume. We don’t have the personnel. We don’t have the medical supplies. And we really don’t have the facilities.
“We are the last standing hospital in the south of Gaza. We really are on our knees now.”
One of her patients is three-year-old Hatem, who was badly burned when an Israeli airstrike hit the family apartment.
Karam, aged one, has a birth defect that could be easily fixed with surgery
His pregnant mother and father were both killed, leaving him an orphan. He has 35 percent burns on his small body.
“It’s a massive burn for a little guy like this,” Dr Rose says. “He’s so adorable. His eyelids are burnt. His hands are burnt. His feet are burnt.”
Hatem’s grandfather barely leaves his hospital bedside. Hatem Senior told us: “What did these children do wrong to suffer such injuries? To be burned and bombed? We ask God to grant them healing.”
Hatem Senior
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The second child identified by the charity is Karam, who, aged one, is trying to survive in a tent in deeply unhygienic surroundings with a protruding intestine.
He’s suffering from a birth defect called Hirschsprung disease, which could be easily operated on with the right skills and equipment – unavailable to him in Gaza right now.
Read more:
Gaza doctor’s nine children killed
How the new Gaza aid rollout collapsed
Karam, aged one, has a birth defect that could be easily fixed with surgery
Karam’s mother Manal told our Gaza camera crew: “No matter how much I describe how much my son is suffering, I wouldn’t be able to describe it enough. I swear I am constantly crying.”
Children are among the bulk of casualties – some 16,000 have been killed, according to the latest figures from local health officials – and make up the majority of those being operated on, according to the British surgical team on the ground.
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