‘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.
World
‘At least 798 killed’ at Gaza aid points – as medical charity warns acute malnutrition at all-time high
At least 798 people in Gaza have reportedly been killed while receiving aid in the past six weeks – while acute malnutrition is said to have reached an all-time high.
The UN human rights office said 615 of the deaths – between 27 May and 7 July – were “in the vicinity” of sites run by the controversial US and Israel-backed Gaza Humanitarian Foundation (GHF).
A further 183 people killed were “presumably on the route of aid convoys,” said Ravina Shamdasani, from the Office of the UN High Commissioner for Human Rights.
Its figures are based on a range of sources, including hospitals, cemeteries, and families in the Gaza Strip, as well as non-governmental organisations (NGOs), its partners on the ground, and Hamas-run health authorities.
Aid agency Project Hope said on Thursday that 10 children were among at least 15 people killed as they waited for its clinic in Deir al Balah to open.
Ten children were reportedly killed when Israel attacked near a clinic on Thursday. Pic: AP
The GHF has claimed the UN figures are “false and misleading” and has repeatedly denied any violence at or around its sites.
Meanwhile, Medecins Sans Frontieres (MSF) – also known as Doctors Without Borders – said two of its sites were seeing their worst-ever levels of severe malnutrition.
Cases at its Gaza City clinic are said to have tripled from 293 in May to 983 in early July.
“Over 700 pregnant or breastfeeding women and nearly 500 children are now receiving emergency nutritional care,” MSF said.
The humanitarian medical charity said food prices were at extreme levels, with sugar at $766 (£567) per kilo and flour $30 (£22) per kilo, and many families surviving on one meal of rice or lentils a day.
It’s a major concern for the estimated 55,000 pregnant women in Gaza, who risk miscarriage, stillbirth and malnourished infants because of the shortages.
The GHF began distributing food packages in Gaza at the end of May, after Israel eased its 11-week blockade of aid into the coastal territory.
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US aid contractors claim live ammo fired at Palestinians
It has four distribution centres, three of which are in the southern Gaza Strip.
The sites, kept off-limits to independent media, are guarded by private security contractors and located in zones where the Israeli military operates.
Palestinian witnesses say Israeli forces have repeatedly opened fire towards crowds of people going to receive aid.
The Israeli military says it has fired warning shots at people who have behaved in what it says is a suspicious manner.
It says its forces operate near the aid sites to stop supplies from falling into the hands of militants.
Read more:
GHF aid distribution linked to increased deaths
Gaza situation ‘apocalyptic’, says UN expert
After the deaths of hundreds of Palestinians trying to reach the aid hubs, the United Nations has called the GHF’s aid model “inherently unsafe” and a violation of humanitarian impartiality standards.
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
In response, a GHF spokesperson said: “The fact is the most deadly attacks on aid sites have been linked to UN convoys.”
The GHF says it has delivered more than 70 million meals to Gazans in five weeks and claims other humanitarian groups had “nearly all of their aid looted” by Hamas or criminal gangs.
At least 798 people in Gaza have been killed while receiving aid in six weeks, the UN human rights office has said.
A spokesperson for the Office of the United Nations High Commissioner for Human Rights said 615 of the killings were “in the vicinity” of sites run by the controversial US and Israel-backed Gaza Humanitarian Foundation (GHF).
A further 183 people killed were “presumably on the route of aid convoys,” Ravina Shamdasani told reporters in Geneva.
The office said its figures are based on numbers from a range of sources, including hospitals, cemeteries and families in the Gaza Strip, as well as NGOs, its partners on the ground and the Hamas-run health authorities.
The GHF has claimed the figures are “false and misleading”. It has repeatedly denied there has been any violence at or around its sites.
The organisation began distributing food packages in Gaza at the end of May, after Israel eased its 11-week blockade of aid into the enclave.
It has four distribution centres, three of which are in the southern Gaza Strip. The sites, kept off-limits to independent media, are guarded by private security contractors and located in zones where the Israeli military operates.
Palestinian witnesses say Israeli forces have repeatedly opened fire towards crowds of people going to receive aid.
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US aid contractors claim live ammo fired at Palestinians
The Israeli military says it has fired warning shots at people who have behaved in what they say is a suspicious manner.
It says its forces operate near the aid sites to stop supplies falling into the hands of militants.
Read more:
GHF aid distribution linked to increased deaths
Gaza situation ‘apocalyptic’, says UN expert
After the deaths of hundreds of Palestinians trying to reach the aid hubs, the United Nations has called the GHF’s aid model “inherently unsafe” and a violation of humanitarian impartiality standards.
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
In response, a GHF spokesperson told the Reuters news agency: “The fact is the most deadly attacks on aid sites have been linked to UN convoys.”
The GHF says it has delivered more than 70 million meals to Gazans in five weeks and claims other humanitarian groups had “nearly all of their aid looted” by Hamas or criminal gangs.
Ten children and two women are among at least 15 killed in an airstrike near a Gaza health clinic, according to an aid organisation.
Project Hope said it happened this morning near Altayara Junction, in Deir al Balah, as patients waited for the clinic to open.
The organisation’s president called it a “blatant violation of international humanitarian law, and a stark reminder that no one and no place is safe in Gaza“.
“No child waiting for food and medicine should face the risk of being bombed,” added the group’s project manager, Dr Mithqal Abutaha.
“It was a horrific scene. People had to come seeking health and support, instead they faced death.”
Operations at the clinic – which provides a range of health and maternity services – have been suspended.
Some of the children were reportedly waiting to receive nutritional supplements, necessary due to the dire shortage of food being allowed into Gaza.
Israel‘s military is investigating and said it was targeting a militant who took part in the 7 October terror attack.
“The IDF [Israel Defence Force] regrets any harm to uninvolved individuals and operates to minimize harm as much as possible,” added.
The deaths come as an agreement over a 60-day truce hangs in the balance – with President Trump cautiously saying it could happen “this week, or next week”.
Elsewhere in Gaza, the Nasser Hospital reported another 21 deaths in airstrikes in Khan Younis and in the nearby coastal area of Muwasi.
It said three children and their mother were among the dead.
Israel said its troops have been dismantling more than 130 Hamas infrastructure sites in Khan Younis over the past week, including missile launch sites, weapons storage facilities and a 500m tunnel.
On Wednesday, a soldier was shot dead when militants burst out of a tunnel and tried to abduct him, the military added.
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Do Trump and Netanyahu really get along?
Eighteen soldiers have been killed in the past three weeks – one of the deadliest periods for the Israeli army in months.
A 22-year-old Israeli man was also killed on Thursday by two attackers in a supermarket in the Israeli-occupied West Bank, said the Magen David Adom emergency service.
People on site reportedly shot and killed the attackers but information on their identity has so far not been released.
Read more:
IDF chief says conditions ‘created’ for Gaza ceasefire
What is the possible Gaza hostage and ceasefire deal ?
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Lack of food and water ‘lethal’ for Gaza children
Negotiations over a proposed 60-day ceasefire are ongoing and President Trump reportedly put “heavy” pressure on Israel’s leader, who visited the US this week.
A major sticking point is said to be the status of the Israel Defence Forces (IDF) inside Gaza during the 60-day ceasefire and beyond, should it last longer.
However, Sky News understands the Israeli government thinks the chances of a permanent truce are “questionable”.
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
More than 57,000 Palestinians have been killed in the war – more than half are women and children, according to Gaza’s Hamas-controlled health ministry.
Its figure does not differentiate between civilians and fighters.
The war began in October 2023 after Hamas killed around 1,200 people in Israel and kidnapped 251 others.
Some of them remain In Gaza and are a crucial part of ceasefire negotiations, which also include a planned surge in humanitarian aid into the strip.
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