U.K. Virus Travel Curbs Infuriate South Africa Tourism Industry

South Africa’s main inbound tourism industry body is lobbying U.K. politicians to remove the country from its so-called coronavirus travel Red List, which it says is incompatible with scientific evidence and is wrecking relations between the nations.

The curbs were based on the discovery of the beta variant in the country even though the incidence of that mutation in South Africa is now minimal, Satsa, which represents 1,350 businesses, said in a presentation dated Aug. 10.

Covid-19 infections in both South Africa and the U.K. are dominated by the delta variant, which was first detected in India. The U.K. accounted for 17% of South Africa’s 2.6 million foreign tourists in 2019, making it the biggest source market.

The placing of South Africa on the Red List about eight months ago means that tourists from the U.K. have to quarantine for 10 days at their own expense in government-selected hotels when they return. Vaccinated travelers from Germany, the U.S., France and other key markets can go home from South Africa without quarantining.

‘Fortress Britain’

The restrictions run counter to the U.K.’s efforts to forge closer links with South Africa in the wake of its exit from the European Union.

“It’s incompatible with the U.K.’s rhetoric about investment in South Africa, trade with South Africa,” Christine Thompson, a government relations and public affairs consultant advising Satsa, said on a webinar. “There is huge degree of resentment. This whole approach is very incompatible with the aspirations of global Britain and is more like fortress Britain.”

The restrictions are jeopardizing an industry that employs 1.5 million people directly and indirectly, and contributes about $5.5 billion to the South African economy annually, Satsa said. They are also threatening the viability of key conservation areas such as national parks, it said.

“Our top priority is to protect public health,” the U.K. Department for Transport said in an emailed response to queries. “Decisions on our traffic-light system are kept under regular review and are informed by the latest risk assessment from the Joint Biosecurity Centre and wider public health factors.”

South Africa has averaged 10,169 Covid-19 infections a day over the last week. The seven-day average in the U.K.. which has a similar population size to South Africa, is about 28,000. Ninety percent of virus genomes sequenced in South Africa in the four weeks to July 24 were the delta variant, Satsa said in its presentation.

Source: BloombergQuint

Fake Friend? UK Yet Again Keeps Kenya on ‘Red List’ but Drops Others

The United Kingdom on Sunday removed several countries from her Covid-19 red list but again kept Kenya in the category of high-risk nations whose travellers are subjected to strict requirements.

It officially announced that it had taken India, Bahrain, Qatar and the UAE off the list, added Austria, Germany, Slovenia, Slovakia, Latvia, Romania and Norway to the green list and moved France to the amber list.

Georgia, Mexico, La Reunion and Mayotte were the latest inclusions in the red zone under which Kenya is classified.

In the UK, since May 7, countries are rated red, amber or green for the coronavirus. Different rules apply to each category.

Before travellers from red list countries go to the UK, they must take a Covid-19 test (except children aged 10 and under), book a quarantine hotel package, including two tests, and complete a passenger locator form. On arrival, they must quarantine in a managed hotel, even if they have been fully vaccinated.

India has registered up to 400,000 positive coronavirus cases in 24 hours and at least 35,000, and has seen coronavirus infections surge due to the Delta variant, far more than anything Kenya has experienced.

In fact, the Asian country’s state of Maharashtra had as of Monday registered 45 cases of the Delta-plus variant per official data from the Indian government.

The Delta-plus variant is a sub-lineage of the Delta variant.

The original Delta variant has several mutations on its spike protein that make it more transmissible, according to the US Centers for Disease Control and Prevention (CDC), which lists Delta as a “variant of concern”.

It also has the potential to reduce the effectiveness of some monoclonal antibody treatments and may partially evade the Covid-19 vaccine.

Red List

Speaking in a telephone interview, Foreign Affairs CAS Ababu Namwamba explained that the government will soon provide a way forward.

“We are having meetings from Monday to deliberate on this red list issue. We are very concerned, having been left out, but we shall update you on what we will do next once we are done,” Mr Namwamba assured the public.

In an official response to the Nation, the UK said its decision to place Kenya in the red category had not changed.

“Decisions to introduce or remove countries from the red list are in direct response to the latest scientific and medical data showing an increased risk to UK public health and community transmission,” the spokesperson explained.

“As with all our coronavirus measures, we keep the red list under constant review and our priority remains to protect the health of the UK public.”

In April this year Kenya protested the decision but the UK stood its ground and retained her on the list.

“The decision by the government of the United Kingdom to ‘Red List’ Kenya and to stop all travel from Kenya for those residents in Kenya, and those transiting through Kenya to the United Kingdom has been received with regret and disappointment,” an official response from the Foreign Affairs ministry said.

“This decision by the United Kingdom will have deep and far-reaching consequences on Kenya-United Kingdom trade, travel, tourism and security cooperation.”

The Kenyan government then announced new restrictions.

“In light of the foregoing and in response to the United Kingdom’s unilateral restrictions of travel from Kenya, the following measures will be enforced,” the government said.

The measures included a mandatory 14-day quarantine for all passengers originating from or transiting through UK airports and two PCR Covid-19 tests at their own cost.

Cargo flights between the two countries were exempted from the rules, as well as Kenyan nationals living in the UK or transiting through its airports into Kenya.

Diplomacy

The UK resolved to ‘calm the storm’ by dangling partnerships, sending vaccine donations, which landed in Nairobi last month, and promising to help Kenya fight the pandemic by collaborating in research and genomic sequencing at Kemri.

“Kenya has been allocated 817,000 Oxford-AstraZeneca vaccines from the UK, with the first batch having arrived last week. The allocation is through bilateral donation and the other half through the Covax facility,” the British spokesperson told Nation.

“On Genomic sequencing, an agreement has been reached with Kemri-Wellcome for collaboration between the UK and Kenya to support genomic sequencing capacity building in-county.”

Source: AllAfrica

Aircraft Traffic on Gradual Recovery to Pre-Pandemic Levels – KCAA

Nairobi — Kenya’s aviation sector is gradually arising from the damaging blow inflicted by the outbreak of COVID-19 pandemic in 2020.

Capt. Gilbert Kibe, the Kenya Civil Aviation Authority (KCAA) Director General, has reported the average daily aircraft movements at about 550 from 1,045 before COVID-19 outbreak.

The 550 reported daily average aircraft movement recorded comprise of 110 international aircraft and 440 domestic flights.

The traffic however reflects a significant improvement with Kenya and the global aviation sector having been affected at an exponential pace, with passenger traffic in July 2020 recording a decline of 94 per cent in comparison to the same period in 2019 due to the pandemic.

Aircraft traffic movements was lowest in July 2020, standing at 9,185, which decreased by 68 per cent below the levels of July 2019 (28,825).

“Macroeconomic data on recent estimates of demand shocks shows that traffic forecast will return to 2019 levels in 2024 at low growth rate of 3.6 per cent compared to 4.2 per cent before COVID-19,” said the KCAA Director General.

This is based on International Civil Aviation Organisation (ICAO) Global forecast.

KCAA added that “international lags are envisaged up to 2023 based on income reduction for leisure travel and countries restrictions to travel.”

However, on the local front, domestic traffic growth is expected to resume to normal in 2022 based on the level of vaccination in the country.

This estimate assumes that there will be no unforeseen challenges that may be posed by new variants of the coronavirus, such as new vicious strains of the Delta variant.

Since the outbreak of COVID-19, KCAA instituted several measures to support the aviation sector absorb virus-triggered shocks.

For instance, the Authority offered exemptions and dispensations where full compliance with applicable aviation requirements were not possible, of course without compromising aviation safety and security.

Staring March 31, 2020, expiry periods for Air Operation Certificates (AOCs) were extended for a period of six months, and thereafter, extensions were given on a case-by-case basis until it became possible to resume on-site Inspections.

Similarly, Designate Check Pilots (DCPs) renewals, Flight Simulator Training Device (FSTD) renewals, and Various Regulatory Trainings and Checks recurrent approvals were extended for periods determined on a case-by-case basis.

This would be informed by the submitted Risk Analysis & Alternative means of compliance proposed by the Operator.

Another measure taken was to waive Fees and Charges for services rendered for the period of exemption/dispensation. According to Capt Kibe, since the resumption of Air Travel, Flight Operations department (FOPs) resumed scaled down on-site inspections and Oversight activities, which were undertaken on a case-by-case basis.

Physical interactions were limited and virtual means were encouraged. This has worked well to spur the industry that was in limbo.

Another notable achievement was the re-purposing of the Kenya Airways Boeing 787 (Dreamliner) cabin from carrying Passengers to carrying Cargo, that was supervised and approved by KCAA. This aircraft conversion was a “first” in the world.

Source: Capital FM

US raises Kenya Covid travel alert

The US has issued a fresh travel advisory against Kenya in the wake of a surge in Covid-19 cases, dealing a blow to the recovering tourism sector.

The US has downgraded Kenya from level two to level three, which requires US citizens to avoid all non-essential travel to a destination and reconsider any planned travel.

The advisory comes less than a week after the UK, also retained Kenya on its travel ban list amid rising Covid-19 cases in the country.

The restrictions look set to hurt the vital tourism sector, which is in the middle of the high season period, given the two countries account for over 20 percent of travel to Kenya.

In the half-year to June, visitors to Kenya from the US and UK stood as 65,442 representing 21.4 percent of arrivals.

“The Centers for Disease Control and Prevention (CDC) has issued a Level Three Travel Health Notice for Kenya due to Covid-19, indicating a high level of Covid-19 in the country,” a statement posted on the US embassy website said.

The US travel restrictions come amid fears that the highly contagious Covid-19 Delta variant may spark the fourth wave of infections in Kenya.

Kenya had 213,756 confirmed Covid-19 cases and 4,211 deaths, with a positivity rate of 14.5 percent as of Tuesday.

Traditionally, the Kenyan high tourist season starts in mid-July and runs till March the following year and is characterised by more international arrivals mainly from the US, UK, Germany, Italy and France.

The US classification of Kenya as Covid-19 high-risk could force many US travellers to either cancel or postpone their trips indefinitely.

In June, the US CDC issued a Level 2 Travel Health Notice for Kenya due to Covid-19, indicating a moderate level of Covid-19 in the country.

In April, the US retained the highest travel advisory on Kenya following what was said was the steep rise in Covid-19 cases in the country, as advised by its CDC.

Source: Business Daily

Covid travel curbs could cost London £6.6bn in overseas tourism

London will bear the brunt of an £11bn drop in revenue from overseas tourists resulting from the government’s continued tough restrictions on travel to England, according to research.

The Centre for Economic & Business Research (CEBR) study said the capital would suffer a loss of almost £7bn compared with levels of spending in the six-month period leading up to the pandemic, unless there was a marked pick up in the rest of the year.

The consultancy firm said London was being doubly hit because it was by far the most popular destination for international visitors, but was not getting the benefits of UK citizens taking their holidays at home this year.

According to the CEBR study, rules for travellers arriving in the UK were complex and tough, even after the relaxation in quarantine requirements for vaccinated travellers announced on Wednesday.

“Compared to many neighbouring countries which have taken a much more relaxed approach, even the best-case scenario for international travel is still pretty onerous, meaning many potential visitors are still choosing to stay away,” it said.

Figures from Visit Britain, the national tourism agency, showed there was an 80% drop in spending by international visitors to England between the second half of 2019 and the same period of 2020.

Should the present restrictions remain in place throughout the rest of 2021, the CEBR said it expected £3.7bn in spending by international visitors – up on the 2020 value but still £10.7bn lower than pre-pandemic amount.

The report said London would account for almost two-thirds (£6.6bn) of the shortfall since it was unable to plug the gap with revenue from domestic tourism.

The CEBR said south-west England – a popular destination for UK holidaymakers – would cope best, with spending by all visitors at 83% of 2019 levels compared with just 38% in London.Source: The Guardian

The International Travel Restrictions Make Little Sense

By Thomas Wright

Few leaders seem concerned about what we might lose by being cut off from one another.

If you’ve traveled internationally this summer and have had to navigate a labyrinth of COVID-19 tests, quarantines, health-authorization forms, and scarce flights to get there, you are one of the lucky ones. Many people have been unable to travel at all.

Few would argue that governments ought to fully reopen travel now, especially with the threat of the Delta variant. But the haphazard, unilateral way that countries have designed, imposed, and upheld travel restrictions—often because they are an easier option than taking action at home to stop the virus—should concern everyone. COVID-19 may never really go away, and large parts of the world could remain unvaccinated for years. Leaders must recognize the danger inherent in unending COVID-19 travel restrictions and put in place a process to eventually lift them completely. Right now, though, few seem concerned about what we might lose by being cut off from one another.

Current limitations are a patchwork effort with seemingly little science or reason behind them. The Biden administration has banned Europeans from visiting, even though the European Union and the United Kingdom have a higher vaccination rate than the United States. Most Europeans living in the U.S. on non-immigrant visas (basically anything except for a green card) can leave the country for Europe, but they can’t return unless they spend two weeks in a country not banned, even if that country has a much higher rate of infection. The Biden administration hasn’t defended the particulars of the ban—why Germany, but not Turkey? —but it recently confirmed that the limitations would stay in place.

The EU has reopened travel between its member states and has lifted restrictions on 23 countries. However, travel between the U.K. and the EU is still limited and changes constantly—either because London adds a new country to its amber or red list or because an EU country bans the British. Clément Beaune, the French minister of state for European affairs, recently called the U.K. restrictions on his country “discriminatory,” “excessive,” and “incomprehensible.” Australians are not allowed to leave their own country, and if a vaccinated Australian abroad wants to go home, the person must quarantine for two weeks in a government-run hotel typically at their own expense—assuming one of the limited slots is available. Meanwhile, China and a number of other Asian nations are closed to most foreigners.

I’ve talked with several officials in the U.S., Europe, and Asia to try to understand the logic behind the policies and where they are headed. These conversations took place under the condition of anonymity so they could talk freely. Three points stood out.

First, officials are genuinely fearful of variants, including Delta, especially with vaccination numbers worldwide still relatively low. Half of the U.S. is not fully vaccinated, for example, and in Asia, the number is higher. Loosening travel restrictions now might only make the virus numbers worse.

Second, the political cost of the restrictions is negligible. Maintaining or tightening travel restrictions is much easier than imposing a mask mandate, requiring vaccine passports, or instituting another shutdown. The lobby in favor of open international travel—the tourism industry, expats, and those who travel frequently—is relatively small. Therefore, many governments, including the U.S.’s, just don’t seem to care much about what they see as a marginal issue.

Finally, the officials know that the restrictions are full of holes and inconsistencies, but keeping them in place is easier than reforming them. Barriers of any kind help to discourage travel, which is the message governments want to send.

No one believes the restrictions will remain indefinitely, but no timetable or process exists for deciding when they will end. Almost no international coordination on the issue has occurred. The topic was not featured at the G7, G20, or U.S.-EU summits. Besides German Chancellor Angela Merkel raising it with Joe Biden in July, the issue has barely come up in one-on-one leader discussions.

The world has a pandemic to fight, so why is scrutinizing these travel restrictions important now?

Legal free movement of people is a core pillar of the post–Cold War international order. It has given millions of students the chance to study abroad. It has resulted in marriages and families. It promotes mutual understanding. It creates jobs and sparks innovation. Throwing up barriers that discourage travel will reduce these connections. It is an act of decoupling—not just from rivals but from friends and allies.

In the short term, we risk sleepwalking into a world divided between the vaccinated and the unvaccinated—a “safe” zone and “safe” people and an “unsafe” world and “unsafe” people. This division, justified on public-health grounds, could cut along geographic, ethnic, and socioeconomic lines, introducing a new fault line into an already fractured world, turbocharging global inequality.

Without a plan to ultimately unwind these travel rules, I fear that restrictions that appear limited now could easily be tightened later if more nativist politicians are elected. After four years of Donald Trump and other populist movements, the previously unacceptable has become easier to accept.

Also, governments may find additional reasons to maintain some of the restrictions. The U.S. and China, for instance, may see a national-security benefit in limiting travel between their two countries. Already, American and Chinese foreign-policy experts find it difficult to obtain visas to visit each other’s countries, and in the case of China, authorities have arbitrarily detained Western experts.

Leaders of the world’s democracies must affirm a shared commitment to restoring travel to the way it was in 2019 and to properly coordinate restrictions so that they are truly based on science and not on a whim. The G20 Rome summit in October would be a good place to do this. As long as variants continue to pose a risk, world leaders should also push for a sustainable and rapid testing infrastructure linked to airports and border crossings worldwide.

The potential ramifications of a less travel-friendly world are yet another reason the world’s democracies need to vaccinate everyone, as a matter of urgency. The 870 million vaccines pledged at the G7 are not nearly enough. The leader of the World Health Organization estimates the global need at 11 billion doses. Former U.K. Prime Minister Gordon Brown called the G7 pledge an “unforgivable moral lapse when every three months COVID-19 is destroying 1 million lives.”

No one would claim that the freedom to travel is the most important right to preserve at the height of a pandemic. But if we convince ourselves that excluding the “unsafe” is easier than defeating the virus, we won’t just be reducing frivolous trips in the short term. We will be fundamentally altering our world for the worse.

Source: The Atlantic

Kenya banking on tourism to hasten sector’s recovery

Kenya has developed a comprehensive strategy to promote the untapped incentive tourism niche and hasten the sector’s revival after a slump occasioned by the COVID-19 pandemic, officials said.

Muriuki Mureithi, a senior officer at Kenya National Convention Bureau (KNCB), said the government will tap into local and overseas incentive travelers to boost tourism sector recovery, create jobs and generate revenue to the exchequer.

“We have positioned the country as a safe destination for incentive travel and are confident of its potential to revive the tourism sector that is gradually emerging from pandemic downturn,” said Mureithi in the coastal city of Mombasa during the arrival of a chartered flight from Romania carrying 53 incentive travelers who are slated to visit different scenic attractions in Kenya.

Mureithi said the Romanian tourists who are on a week-long vacation in Kenya will help promote the country as a safe destination after easing of COVID-19 restrictions.

He said Kenya has developed a conducive environment to spur growth of incentive tourism and compete favorably with established markets in Africa including Morocco and Seychelles. And the government will leverage meetings, incentive travel, conferences and exhibitions (MICE) to boost recovery of the tourism sector that contributes about 10 percent to the country’s gross domestic product.

Anghel Cristian-Daniel, general manager of Map Travel that facilitated the arrival of 53 incentive travelers from Romania, said that Kenya remains an attractive destination for overseas tourists amid favorable weather and security.

He said there will be weekly chartered flights from Romania to Kenya with easing of travel restrictions combined with enhanced COVID-19 containment measures.

Jeff Mukolwe, general manager of Swahili Beach Hotel, said the ongoing vaccine rollout in the country has injected confidence in foreign tourists keen to sample beach destinations.

He said the 53 Romanian tourists were the first batch of incentive travelers to visit Kenya since the onset of the pandemic in March 2020, adding that the country’s declining COVID-19 caseload was having a positive outcome on the tourism sector.

Kenya’s Ministry of Health Mercy Mwangangi said Tuesday it launched a strategic plan to help prevent and control non-communicable diseases.

Source: Xinhua

Kenya has developed a comprehensive strategy to promote the untapped incentive tourism niche and hasten the sector’s revival after a slump occasioned by the COVID-19 pandemic, officials said.

Muriuki Mureithi, a senior officer at Kenya National Convention Bureau (KNCB), said the government will tap into local and overseas incentive travelers to boost tourism sector recovery, create jobs and generate revenue to the exchequer.

“We have positioned the country as a safe destination for incentive travel and are confident of its potential to revive the tourism sector that is gradually emerging from pandemic downturn,” said Mureithi in the coastal city of Mombasa during the arrival of a chartered flight from Romania carrying 53 incentive travelers who are slated to visit different scenic attractions in Kenya.

Mureithi said the Romanian tourists who are on a week-long vacation in Kenya will help promote the country as a safe destination after easing of COVID-19 restrictions.

He said Kenya has developed a conducive environment to spur growth of incentive tourism and compete favorably with established markets in Africa including Morocco and Seychelles. And the government will leverage meetings, incentive travel, conferences and exhibitions (MICE) to boost recovery of the tourism sector that contributes about 10 percent to the country’s gross domestic product.

Anghel Cristian-Daniel, general manager of Map Travel that facilitated the arrival of 53 incentive travelers from Romania, said that Kenya remains an attractive destination for overseas tourists amid favorable weather and security.

He said there will be weekly chartered flights from Romania to Kenya with easing of travel restrictions combined with enhanced COVID-19 containment measures.

Jeff Mukolwe, general manager of Swahili Beach Hotel, said the ongoing vaccine rollout in the country has injected confidence in foreign tourists keen to sample beach destinations.

He said the 53 Romanian tourists were the first batch of incentive travelers to visit Kenya since the onset of the pandemic in March 2020, adding that the country’s declining COVID-19 caseload was having a positive outcome on the tourism sector.

Kenya’s Ministry of Health Mercy Mwangangi said Tuesday it launched a strategic plan to help prevent and control non-communicable diseases.

Source: Xinhua

Africa must remove barriers to flying to secure post-pandemic boom, says IATA regional exec

Africa was set to become one of the fastest growing regions for aviation over the next two decades. Then the pandemic hit, slashing global passenger traffic by 66% in 2020, and stalling the pace of growth in Africa.

The International Air Transport Association (IATA), which represents 290 airlines and roughly 82% of total air traffic, is putting measures in place to help the travel industry recover from the pandemic on the continent and beyond.

CNN Business spoke with Kamil Al-Awadhi, IATA’s Vice President for Africa and the Middle East, about the future of African aviation. The following interview has been edited for clarity and length.

What’s the current state of the aviation industry in Africa?

Kamil Al-Awadhi: Before I get into Africa — in general, the aviation industry is in tatters. It’s no failure from the aviation industry itself, it’s more man-made by governments and authorities locking down for a year and half after Covid-19. This has killed an industry that is dependent on a five to 10-year plan.

It’s a global issue, with governments and borders being shut every time there’s a new variant, and there’s no collaboration — if one country opens up, there’s no point because you need the reciprocal country to accept travel.

In Africa, this is even worse. There seems to be a complete disconnect between states on agreeing how to do things, there’s little support from governments to the aviation industry, and the excessive costs of PCR [Covid-19] testing makes travel unbearable.

Have you seen a boost in demand for air cargo?

Al-Adwahi: When commercial flights [stopped running during the pandemic] everybody tried to flip over to cargo and there was a sudden increase in demand for it. Thankfully, cargo is probably the trickle of revenue that’s kept aviation alive this long.

When governments needed urgent vaccines to be delivered, or when hospitals were running out of essential medical supplies, they turned to the airlines for cargo support, and airlines complied immediately and supported the governments in this. But when it came to getting financial support or relief from governments, very few airlines got it.

Cargo has been very positive in Africa. It has supported the aviation industry and kept jobs going, whether it’s in the airport, the ground handling agents and so on.

Pre-pandemic, Africa was set to be one of the fastest-growing aviation regions in the next 20 years, according to IATA. Do you think it can regain this position?

Al-Adwahi: It’s about getting all the relative stakeholders to sit at a table and understand the importance of alignment. Once we get past that hurdle, I think you will see a boom that will make history in Africa.

Central to this is having a “Single African Air Transport Market” (SAATM). Instead of having each country working in separate silos, we’re going to get all the countries in Africa to work under one umbrella, one set of rules, one market. Once you do that, the barriers get dropped.

If you look at Europe’s domestic market, aviation is picking up beautifully. If you look at the US, it’s hitting pre-Covid numbers. China is the same. If we can convert Africa to a domestic market, then we would have the exact same condition. We recently submitted the final document to SAATM, which has guidelines for how it should work — 35 countries have already signed up to it, which is very positive.

How can we get travel up and running again, with the restrictions currently in place?

Al-Awadhi: The lack of scientific background in this decision-making process is causing mayhem in aviation. Vaccines shouldn’t be the only precondition for travel. PCR testing at departure is I think essential, but PCR costs should be controlled. In some countries in Africa it costs up to $500 per PCR test, so if a family of four want to travel, it will cost $2,000 just to leave the country, and probably the same to get back.

Increased paperwork is slowing down airport transits. In some airports that were handling 100% traffic in 2019, it would take 45 minutes from A to Z. Now it’s taking three to four hours, with only 30% of traffic. We estimate that as traffic goes back to 2019 levels, there could be a six-hour delay for the passenger to check in because of all the credentials they have to carry. The IATA has created a digital travel pass to facilitate this.

I’d love to see governments rethinking their position on supporting the aviation industry, specifically the airlines that are desperately needed to support the country’s infrastructure, jobs and GDP.

Are you optimistic about recovery within Africa’s aviation industry?

Al-Awadhi: Generally, I’m very optimistic. Governments are getting more savvy about coronavirus and how to handle it, and they are feeling the pinch now economically. I think the last quarter of this year will see a boom — as long as “variant Echo” or “variant Foxtrot” doesn’t come up and everybody panics.

Source: CNN Business

Covid-19: C.D.C. Reverses Testing Advice for Fully Vaccinated

In addition to revising its mask guidance on Tuesday, the Centers for Disease Control and Prevention also quietly updated its testing recommendations for people who are fully vaccinated against the coronavirus.

The agency now advises that vaccinated people be tested for the virus if they come into contact with someone with Covid-19, even if they have no symptoms. Previously, the health agency had said that fully vaccinated people did not need to be tested after exposure to the virus unless they were experiencing symptoms.

“Our updated guidance recommends vaccinated people get tested upon exposure regardless of symptoms,” Dr. Rochelle P. Walensky, the agency’s director, said in an email to The New York Times. “Testing is widely available.”

Fully vaccinated people should wear a mask in public indoor spaces after exposure, the agency said. Three to five days later, they should be tested for the virus.

If the results come back negative, they can stop wearing masks indoors. If results are positive, the infected should isolate at home for 10 days.

Although people who are fully vaccinated may still get infected with the virus, these breakthrough infections tend to be mild or asymptomatic. The vaccines authorized in the United States provide strong protection against the worst outcomes, including severe disease, hospitalization and death, including from the Delta variant.

The new testing recommendation came on the same day that the agency recommended that fully vaccinated people return to wearing masks indoors under some circumstances. When levels of community transmission are high, everyone, regardless of vaccination status, should wear masks indoors when they are in public, the agency now says.

The agency also recommended that vaccinated people in close contact with unvaccinated people, including children under age 12, consider wearing masks in public indoor spaces whatever the transmission rates in the local community. In a shift, the agency also recommended universal masking in schools.

For months, the C.D.C. had resisted recommending masks for vaccinated people, even as the highly contagious Delta variant spread and the World Health Organization recommended continued mask wearing.

The change was prompted by new data suggesting that even vaccinated people who are infected by Delta may carry large amounts of the virus and transmit it to others, Dr. Walensky said at a news briefing on Tuesday.

Source: The New York Times

What Kenya needs to do better as it braces for fourth wave of COVID-19

Kenya is grappling with the COVID-19 Delta variant, which recently resulted in the western part of the country being put into lockdown. It now threatens the capital, Nairobi.

A modelling forecast from the Kenya Medical Research Institute in June 2021 warned of an imminent fourth wave with attendant risks of health service demand exceeding capacity. The Delta variant is much more transmissible than its predecessors, such as the Alpha variant, but it does not appear to cause more severe disease.

The modelling study is a welcome alert to the dangers of the Delta variant. Its findings should be used to inform preparedness by both public and private sectors. In other parts of the world, the variant has spread fast including in those who are partially immunised, overwhelming health services.

The big concern is how Kenya will fare this time around.

The Kenyan government reacted quickly to the previous three waves. But the public has felt some pandemic fatigue. And the economy and social life in general have been negatively affected.

Two doses of the main vaccines provide good protection against hospitalisation and severe disease. The country’s rollout so far has been limited to COVAX supplies and donations, and a concerted effort to procure more using local and donor funding is necessary.

Kenya’s strengths – and the gaps

As of July 29, there were 199,941 confirmed cases of COVID-19 with 3,895 deaths in the country. A partial explanation for the low fatality number is Kenya’s younger population with fewer co-morbidities and less obesity. But there may be other explanations too. It is likely that there is already a high percentage of the population that has been exposed to COVID-19 from earlier waves and so will have some immunity against it.

The government has done some things well. There was, and continues to be, prompt national action with a national emergency response committee, coherent mitigation messaging, daily briefings by the Ministry of Health on case numbers, positivity rates and hospital utilisation, and dedicated treatment facilities.

The health system as a whole has shown resilience after an initial decline when the pandemic started, with most healthcare services, like maternity care, now back to normal or near normal. In addition, coordination of testing across the country has been instituted and includes genomic testing.

Because of the limited supplies of available vaccines, only about 2% of the population has been vaccinated. So far, the Astra Zeneca has been the only available vaccine but others including the Johnson and Johnson and Pfizer are expected in August. There are ambitious plans to cover the whole adult population by 2022 using donated  and locally procured vaccines.

There are, however, areas where more action is needed, particularly in the face of a potential fourth wave.

The main gaps are in the capacity of the health system. Oxygen provision is low especially in the public sector. In addition, there are too few intensive care unit beds.

And then there’s the need to ramp up vaccination efforts. Vaccine procurement is limited to the government. In addition, administration is being done by the government distributing – from their limited supplies – to public and selected private facilities. As vaccine supplies increase globally, allowing non-public sector provision would help raise coverage.

Adherence to mitigation measures such as mask wearing and social distancing is limited. Myths about COVID-19 abound, and there is deep scepticism about the threat the virus poses.

Effective responses are also being hampered by vaccine hesitancy and government corruption scandals.

What needs to be done

The new Delta variant is a serious threat because it is much more easily transmitted. Prompt government action is necessary to put prevention measures in place and enforce them.

A major effort is needed to help hospitals test and report results quickly for optimal patient care, particularly in the public sector. The government took a decision early in the pandemic to limit antibody testing to research studies. This constrains both clinical care and surveillance of the prevalence of COVID-19 in the population which would otherwise give more insight into the nature of the pandemic in Kenya and population exposure.

More testing and contact tracing should be in place.

There also needs to be better coordination of bed availability across counties and the country.

The potential for larger gatherings to be super-spreaders is a clear concern. The government should bring people and policymakers together, working with communities to reduce complacency, improve education and awareness and to enforce adherence to mitigation measures.

The vaccination programme needs to be expanded and expedited. Using local knowledge and networks is essential to prepare people and health services for a rapid vaccination scale-up.

In terms of treatment and care, the single most important aspect is oxygen. It is vital to be able to give higher levels of oxygen such as with a high flow nasal canula. These are available in some private facilities but in very short supply in the public facilities.

In the previous surge in March 2021, few of the public hospitals had sufficient oxygen and even private hospitals were running out of supplies. While many of the public hospitals had facilities for generating oxygen, some were not working. This is all exacerbated by delays and high costs for medical equipment and repair parts, often costing double the amounts paid in Europe or North America.

And, finally, Kenyans themselves have a responsibility to take precautions and get vaccinated. They should avoid large gatherings, such as political rallies.

Source: The Conversation