When South Asia becomes the heart of translation

The circumstances we are witnessing in South Asia are unlike anything the region has experienced before.
Many families of patients are languishingly waiting for help while the whole area is in a serious shortage of oxygen tanks and other medical supplies. The medical staff were exhausted. The entire region faces the risk of collapse of health systems, meaning more people will not survive the pandemic. The United Nations Children’s Fund (UNICEF) depicts such a gloomy picture of South Asia, one of the two regions with the highest poverty rates in the world, in the second wave of the COVID-19 strike.

Patient COVID-19 was treated in an isolation ward in New Delhi, India on May 8, 2021. Photo: THX / TTXVN Half a month ago, when the COVID-19 crisis shook India, the Regional Director of South Asia at the International Association of Red Cross and Red Crescent Societies (IFRC) Udaya Regmi warned the rate of infection. The spread of the SARS-CoV-2 virus in the region is “really frightening”, possibly making South Asia “the new epicenter of the next US pandemic”. In the past two weeks, according to World Health Organization (WHO) statistics, the number of new infections in this region has been higher than the total number of cases in the first six months of the pandemic combined – an explosion that has stunned at South Asia. Along with India, the number of new infections is increasing alarmingly across South Asia, especially in Nepal, Pakistan and Sri Lanka. Charities fear South Asia is approaching “disaster”. Experts say that the epidemic situation in South Asia has become more serious recently, mainly due to the new variant of the SARS-CoV-2 virus, especially the double mutation in India. Over the past week, Nepal has seen a number of new cases of more or less 9,000 cases / day, while this number during March was only a few dozen cases. The number of reported infections in Nepal is 57 times more now than in April 2021. The rate of SARS-CoV-2 virus infection per 100,000 population per day increased more than 7 times in just two weeks. In Sri Lanka, since the beginning of May alone, more than 18,000 new infections have been recorded. If on April 27, for the first time, the number of cases per day in this country reached 4 digits, then on May 10, the South Asian country witnessed the highest number of cases ever, 2672 cases. Pakistan in February averaged 1,100 cases per day, now this number has increased 5 times. Maldives on 11/5 recorded 1,204 cases, while a week ago the average daily number was about 600 cases. The rapid infection rate in all South Asian countries makes experts warn a new global epidemic wave is emerging that South Asia is the epicenter. Dr. Ashish Jha, Rector of Brown University of Public Health (USA) commented: “Here’s the bottom line: When there are big outbreaks, those variations will arise… India is a large country. “People and at large, when there are big outbreaks there, we will have to worry about new variants that are more harmful to the people of this country and of course they will spread around the world.” India first discovered variant B.1.617 in October 2020 and WHO classified it as a “variant of concern” at a global level due to its more contagious nature and higher mortality. as well as being resistant to many current vaccines and treatments. According to reports, this variant has appeared in at least 17 countries. Explaining the cause of the current devastating COVID-19 “tsunami” in South Asia, experts say that the region is inherently densely populated, with a large number of poor living together in the Narrow spaces in the slums of the city or rural areas turn this into “fertile ground” for the SARS-CoV-2 virus to rage. Currently more than 35% of the about 800 million poor people worldwide are struggling with the pandemic living in South Asia. People wait in line for the COVID-19 vaccine to be vaccinated in Kalutara, Sri Lanka. Photo: THX / TTXVN As one of the poorest countries in the world, Nepal was hit by a pandemic while still sinking in serious crises after the 2015 earthquake disaster. Currently, 44% of health care facilities here are damaged after The earthquake has not yet been reconstructed, more than 70% of the population has to earn a living by informal jobs so they do not have access to the social safety net. Since 2015, an additional 700,000 Nepalese have fallen into the poverty line. High density of the population, the proportion of people who are malnourished and have no income are factors that increase the risk of COVID-19 more easily and make medical care almost impossible. Although Nepal has increased its border controls and imposed blockades in heavily affected areas, including the capital, Kathmandu, experts fear that is not enough to keep the virus from spreading. As fast as a wind from the Kathmandu valley to the foot of Mount Everest. Meanwhile, the Maldives archipelago has an economy dependent on tourism, so it reopened the border to international tourists since July 2020 after 3 months of blockade, becoming the first country to celebrate. welcome foreign tourists in the midst of a pandemic still raging around the world. Until India’s other neighbors have begun to close their borders and impose a travel ban, resorts in the Maldives still welcome Bollywood stars and Indian citizens who want to visit the island nation. avoid the domestic epidemic crisis. As a result, early May, the Center for Medical Emergencies (HEOC) Maldives said hospital admissions had tripled in just a few days and that a new variant of the virus could have entered the island nation. In Sri Lanka, in the early days of May, the number of new infections in the day quickly exceeded the peak of the first wave in February. Health Minister Pavithra Wanniarachchi admitted this was the result of mass gatherings in New Year’s Eve (April 13-14), when many people go to the streets to celebrate and go shopping. In Pakistan, schools and restaurants have been closed, shops have shortened hours of operation and troops have been deployed in response to the epidemic. But every night, groups of devout Muslims flock to temples across the country to pray, though Pakistani authorities have tightened restrictions on and banned travel during Eid al- Fitr marks the end of the holy month of Ramadan. Pakistan has recorded more than 861,000 cases and nearly 19,000 deaths, but the testing system in the country is very limited while the health care infrastructure is sagging, prompting experts to warn of epidemics. much worse. Home to half of the world’s poor, South Asian countries lack adequate public health facilities and are increasingly scarce in the medical supplies needed during a pandemic outbreak today. The countries in the region depend on India, the largest country in South Asia, for medical equipment and especially vaccines. However, India is also facing a serious shortage of both anti-epidemic products. The current very low vaccination rates in South Asia are one of the reasons the virus spreads “out of control”. According to UNICEF data, in most countries in the region, less than one tenth of the population is vaccinated. About 1.7 million out of nearly 30 million Nepalese people have just received the first shot of the AstraZeneca vaccine. Among them, 380 thousand people received the second shot. It is also worrying that investment in public health in most countries remains modest. According to World Bank (WB) data, in 2017, Sri Lanka invested about 2% of GDP in public health, Bangladesh at 2.27% of GDP, the figure in Pakistan was 2.9% and 3 , 19% are in Bhutan, while the US is 17.06%, Austria is 10.4%, and Brazil 9.47%. Due to limited investment in health, most South Asian countries are “ragged” in the pandemic. For example, Nepal has about 1,600 hospital beds with active treatment and less than 600 ventilators, on average 0.7 doctors will care for 100,000 people. Sri Lanka, at a rate of 3.6 hospital beds for every 1,000 people and 1,200 people with only 1 doctor, quickly fell into overcrowding due to the pandemic. Cremation of patients dying from COVID-19 in Kathmandu, Nepal. Photo: THX / TTXVN Moreover, since South Asia is one of the two regions with the highest poverty rates in the world (along with the southern Sahara), experts warn the consequences of this outbreak for South Asia will be. very cruel. According to the World Bank, COVID-19, which has been raging for more than a year, can push an additional 115 million people deep into poverty and most of the “new poor class” will be concentrated in South Asia. It can be said that the “terrible storm” COVID-19 that swept through India has also swept into other poor countries of South Asia. Dr. Netra Prasad Timsina, of the Red Cross of Nepal, warned “what is happening in India right now is the terrible future of South Asian countries” if we do not take drastic action. IFRC Asia Pacific Director Alexander Matheou also affirmed, “We need to act now, quickly to have hope of preventing this disaster,” because the virus “does not distinguish borders and strains are spreading throughout Asia “. South Asia is the region that accounts for 25% of the world’s population and whether the region can overcome the COVID-19 crisis will determine the “success or failure” of the fight against the global pandemic.