‘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.
US president-elect Donald Trump has suggested Israel and Hamas could agree a Gaza ceasefire by the end of the week.
Talks between Israeli and Hamas representatives resumed in the Qatari capital Doha yesterday, after US President Joe Biden indicated a deal to stop the fighting was “on the brink” on Monday.
A draft agreement has been sent to both sides. It includes provisions for the release of hostages and a phased Israeli troop withdrawal from Gaza.
Qatar says Israel and Hamas are at their “closest point” yet to a ceasefire deal.
Two Hamas officials said the group has accepted the draft agreement, with Israel still considering the deal.
An Israeli official said a deal is close but “we are not there” yet.
More than 46,500 Palestinians have been killed in Gaza since Israel launched its ground offensive in the aftermath of the 7 October attacks, according to the territory’s Hamas-run health ministry.
Read more:
What’s in the proposed deal?
Palestinians inspect the site of an Israeli strike on beachfront cafe in Deir al Balah. Pic: Reuters
Biden hails possibility of agreement
President Biden said it would include a hostage release deal and a “surge” of aid to Palestinians, in his final foreign policy speech as president.
“So many innocent people have been killed, so many communities have been destroyed. Palestinian people deserve peace,” he said.
“The deal would free the hostages, halt the fighting, provide security to Israel, and allow us to significantly surge humanitarian assistance to the Palestinians who suffered terribly in this war that Hamas started.”
Qatari mediators have sent Israel and Hamas a draft proposal for an agreement to halt the fighting.
Analysis:
Deal might be close, but there are many unanswered questions
Pic: Reuters
Trump: ‘We’re very close’
President-elect Donald Trump has also discussed a possible peace deal during a phone interview with the Newsmax channel.
“We’re very close to getting it done and they have to get it done,” he said.
“If they don’t get it done, there’s going to be a lot of trouble out there, a lot of trouble, like they have never seen before.
“And they will get it done. And I understand there’s been a handshake and they’re getting it finished and maybe by the end of the week. But it has to take place, it has to take place.”
Read more:
Pope Francis honoured by Joe Biden
Donald Trump’s inauguration 2.0
Pic: AP
Israeli official: Former Hamas leader held up deal
Speaking on Tuesday as negotiations resumed in Qatar, an anonymous Israeli official said that an agreement was “close, but we are not there”.
They accused Hamas of previously “dictating, not negotiating” but said this has changed in the last few weeks.
“Yahya Sinwar was the main obstacle for a deal,” they added.
Sinwar, believed to be the mastermind of the 7 October attacks, led Hamas following the assassination of his predecessor but was himself killed in October last year.
Under Sinwar, the Israeli official claimed, Hamas was “not in a rush” to bring a hostage deal but this has changed since his death and since the IDF “started to dismantle the Shia axis”.
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Biden: ‘Never, never, never, ever give up’
Iran ‘weaker than it’s been in decades’
Yesterday, President Biden also hailed Washington’s support for Israel during two Iranian attacks in 2024.
“All told, Iran is weaker than it’s been in decades,” the president said.
Mr Biden claimed America’s adversaries were weaker than when he took office four years ago and that the US was “winning the worldwide competition”.
“Compared to four years ago, America is stronger, our alliances are stronger, our adversaries and competitors are
weaker,” he said.
“We have not gone to war to make these things happen.”
The US president is expected to give a farewell address on Wednesday.
A draft ceasefire deal on the table between Israel and Hamas would see 33 hostages set free and a phased withdrawal of IDF forces from parts of Gaza.
President Joe Biden said an agreement to stop the fighting was “on the brink” and high level negotiations between the two sides resumed in Qatar on Tuesday.
The deal would see a number of things happen in a first stage, with negotiations for the second stage beginning in the third week of the ceasefire.
It would also allow a surge in humanitarian aid into Gaza, which has been devastated by more than a year of war.
Details of what the draft proposal entails have been emerging on Tuesday, reported by Israeli and Palestinian officials.
Relatives and supporters of Israeli hostages hold photos of their loved ones during a protest on 8 January. Pic: AP
Hostages to be returned
In the first stage of the potential ceasefire, 33 hostages would be set free.
These include women (including female soldiers), children, men over the age of 50, wounded and sick.
Israel believes most of these hostages are alive but there has not been any official confirmation from Hamas.
In return for the release of the hostages, Israel would free more than 1,000 Palestinian prisoners and detainees.
People serving long sentences for deadly attacks would be included in this but Hamas fighters who took part in the 7 October attack would not be released.
An arrangement to prevent Palestinian “terrorists” from going back to the West Bank would be included in the deal, an anonymous Israeli official said.
Read more:
A timeline of events since the 7 October attacks
The hostages who still haven’t returned home
Smoke billows as buildings lie in ruin in Beit Hanoun in Gaza. Pic: Reuters
Phased Israeli withdrawal from Gaza
The agreement also includes a phased withdrawal of Israeli forces from Gaza, with IDF troops remaining in the border perimeter to defend Israeli border towns and villages.
Security arrangements would be implemented at the Philadelphi corridor – a narrow strip of land that runs along the border between Egypt and Gaza – with Israel withdrawing from parts of it after the first few days of the deal.
The Rafah Crossing between Egypt and Gaza would start to work gradually to allow the crossing of people who are sick and other humanitarian cases out of Gaza for treatment.
Unarmed North Gaza residents would be allowed to return to their homes, with a mechanism introduced to ensure no weapons are moved there.
“We will not leave the Gaza Strip until all our hostages are back home,” the Israeli official said.
What will happen to Gaza in the future?
There is less detail about the future of Gaza – from how it will be governed, to any guarantees that this agreement will bring a permanent end to the war.
“The only thing that can answer for now is that we are ready for a ceasefire,” the Israeli official said.
“This is a long ceasefire and the deal that is being discussed right now is for a long one. There is a big price for releasing the hostages and we are ready to pay this price.”
The international community has said Gaza must be run by Palestinians, but there has not been a consensus about how this should be done – and the draft ceasefire agreement does not seem to address this either.
In the past, Israel has said it will not end the war leaving Hamas in power. It also previously rejected the possibility of the Palestinian Authority, which exercises limited governing powers in the West Bank, from taking over the administration of Gaza.
Since the beginning of its military campaign in Gaza, Israel has also said it would retain security control over the territory after the fighting ends.
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