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Malawi to bin 16,000 AstraZeneca doses amid fears of rise in vaccine hesitancy | Global health

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More than 16,000 expired AstraZeneca Covid-19 doses are to be destroyed in Malawi as concerns over vaccine hesitancy increase.

The vaccines are among 102,000 doses donated by the African Union (AU) to the Malawian government last month.

Health campaigners are concerned that the possible link with rare cases of blood clots and rumours that people were being given out-of-date doses of the vaccine were putting people off coming forward.

Currently, about 230,000 doses have been administered, enough to vaccinate nearly 1% of the population. As well as doses from the AU, the country received more than 400,000 AstraZeneca shots from Covax and the Indian government.

Initially, Malawians responded to the vaccine enthusiastically, with long queues at vaccination points and hospitals since the rollout began last month. But numbers have dropped off.

“From what I know, vaccine hesitancy has contributed to reduced uptake,” said Dr Ben Chilima, director of the Public Health Institute of Malawi. “I know some people did not go for the vaccine because of the hesitancy. There are some people who hesitate because they want to understand, other people because of religion and some people who simply think, ‘I will go tomorrow’.

“In the last week, people were also spreading messages that they will receive the expired vaccine, causing damage to the effort of the government.”

News that the AU has decided to halt plans to procure the AZ vaccine has not helped, despite it insisting the decision was not linked to concerns over blood clots.

George Jobe, executive director of Malawi Health Equity Network, said: “We wished all the vaccines had been administered to Malawians, so we’re very concerned.

“In the country, especially in rural areas, people are still clinging to the negative information about the vaccine. We should remember that there has been misinformation on the vaccine, and now we’ve experienced the danger of such messages.”

Jobe said people should follow expert advice, and not listen to rumours.

“This is a lesson to our donors that when giving donations, they should consider how prepared the nation is. Are people aware and ready to get the vaccine? The next vaccinations should not come within a few weeks before the expiry date because the same things will be happening,” he said.

The ministry of health has assured people that it will dispose of all expired doses.

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EU to propose universal phone-charger law

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The EU plans to propose laws harmonising mobile-phone, tablet, and headphone chargers and ports on Thursday in a bid to make life easier for consumers, Reuters reports. But Apple, whose iPhones use a special ‘Lightning cable’ has said the move will lead to piles of waste and deter innovation. Rival Android-based devices use so-called ‘USB-C’ connectors, but ‘USB micro-B’ and Lightning connectors account for about a third each of market-share.

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Brexit: British Embassy launches survey on key issues affecting UK nationals in Spain | Brexit | International

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The British Embassy in Madrid has launched a survey aimed at finding out how UK nationals in Spain have been affected by key issues, in particular, the United Kingdom’s exit from the European Union, a process commonly known as Brexit.

The poll is for Britons who are full-time residents in Spain (not those with second homes) and are covered by the Brexit Withdrawal Agreement, i.e. they were officially registered in the country before December 31, 2020, when the so-called Transition Period came to an end.

Questions in the survey address issues such as access to healthcare and the uptake of the TIE residency cards, which were introduced as a replacement for green residency cards (either the credit-card size or the A4 sheet version, officially known as the Certificado de Registro de Ciudadano de la Unión).

As we approach a year since the end of the Transition Period, we really want to hear from you about the key issues…

Posted by Brits in Spain on Friday, September 17, 2021

The aim of the poll is to gather vital information on the experience of UK nationals living in Spain that will help the British Embassy provide feedback to Spanish authorities. The survey takes around 10 minutes to complete, and all answers are confidential.

Have you heard our Spanish news podcast ¿Qué? Each week we try to explain the curious, the under-reported and sometimes simply bizarre news stories that are often in the headlines in Spain.



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‘The challenge for us now is drought, not war’: livelihoods of millions of Afghans at risk | Global development

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The war in Afghanistan might be over but farmers in Kandahar’s Arghandab valley face a new enemy: drought.

It has hardly rained for two years, a drought so severe that some farmers are questioning how much longer they can live off the land.

Mohammed Rahim, 30, grew up working on a farm along with his father and grandfather in the Arghandab district of Afghanistan’s southern province. Famous for its fruit and vegetables, the area is known as the bread basket of Kandahar.

Like most in the valley, Rahim’s family relies solely on farming. “The fighting has just stopped. Peace has returned,” Rahim says. “But now we face another war: drought.

“Now we have to dig deep to pump water out of the land. It has been two years, there has been little rain and we have a drought here. I don’t know if our coming generations can rely on farming the way our ancestors used to do.”

Pir Mohammed, 60, has been a farmer for more than four decades. “Not long ago, there were water channels flowing into the farm and we were providing the remaining water to other farmers,” says Mohammed. “Before, the water was running after us, flowing everywhere – but now we are running after water.”

The water used to come free from the river but now the daily diesel cost for the water pump is at least 2,500 Afghani (£21).

“We don’t make any profit. We are in loss, rather. Instead, we are using our savings. But we don’t have any other option as we do it for survival,” says Mohammed. “However, the scarcity of water has affected the quality of crops as well.”

About 70% of Afghans live in rural areas and are particularly vulnerable to the impacts of drought.

Last week, Rein Paulsen, director of the Food and Agriculture Organization’s Office of Emergencies and Resilience, said severe drought was affecting 7.3 million people in 25 of the country’s 34 provinces.

He warned: “If agriculture collapses further, it will drive up malnutrition, increase displacement and worsen the humanitarian situation.”

Arghandab has been a favourite destination for farming because of the abundance of water and fertile lands. Neikh Mohammed, 40, left the Dand district of Kandahar to work in Arghandab in 2005. When he arrived he was amazed to see the greenery and pomegranate farms.

A dam affected by drought in Kandahar.
A dried up dam in Kandahar. A majority of Afghans are particularly vulnerable to the impacts of drought, as they live in rural areas. Photograph: Xinhua/Rex/Shutterstock

“It used to rain a lot here and we could not cross the river and come into our farms. We had a life with abundant water. But the past is another country now,” he says.

According to a report by the UN mission in Afghanistan, many local farmers were caught in the crossfire between the Taliban and the Afghan security forces. The Taliban carried out attacks from thick foliage on the farms, which provided a hiding place, ideal for an ambush.

“For the past 20 years, we did not have peace and could not work after dark in our farms. But now we can stay as long as we want without any fear,” says Neikh Mohammed. “Now the challenge is not just restoring peace but the drought and escalating cost of essential commodities.”

Farmers say they want support from international aid agencies and assistance from the new government headed by the Taliban to help them survive.

Pir Mohammed says: “The real challenge for us now is drought, not war. We need food, water, dams and infrastructure in our country. The world should invest in us and save us.”

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