Vaccinations in Rural India Increase Amid Supply Concerns

India has dramatically increased COVID-19 vaccination rates in its vast rural hinterland, where around 65% of the country’s nearly 1.4 billion people live. But supply constraints remain for the world’s largest maker of vaccines and experts say it’s unlikely India will reach its target of vaccinating all adults by the end of the year.India opened shots for all adults in May. But the campaign faltered in villages due to vaccine hesitancy and misinformation. That started changing in mid-July and of the nearly 120 million shots administered in the past three weeks, around 70% were in India’s villages — up from around half in the initial weeks of May.Although the increased vaccine acceptance in rural areas is promising, the pandemic is far from done in India: After weeks of steady decline, the 46,000 new infections reported Saturday was its highest in almost two months.Only about 11% of India’s vast population is fully vaccinated. Half of all adults and about 35% of the total population have received at least one shot. This has left large swathes of people still susceptible to the virus.Several nations, including the U.S. and Israel, are offering or plan to offer booster shots to people, deepening global vaccine inequity. India was expected to be a pivotal producer of shots to immunize the world but stopped exports after an explosion of infections. And while India had expected to get 1.35 billion shots in the final five months of 2021 to resolve its supply constraints, the question of whether Indian vaccine makers can scale up production to meet India’s needs will have global implications.“Currently in India, there is more demand than available supply…the supply of vaccines currently in use is lower than the projections made a few months ago. So both of these situations are putting constraints on availability of vaccines in the country,” said Dr. Chandrakant Lahariya, a vaccine policy expert.India is no stranger to mass immunizations, but this is the first time that shots are being given at this scale, and to adults. Officials have blended strategies that were successful in the past with newer, more localized innovations.Kamalawati, 65, a retired government accountant who goes by only her first name, lined up for a shot at Nizampur, a village outside New Delhi. She said people initially were concerned there would be harmful side effects but “people are not scared anymore.”What has worked for her village and others is a contest in which the local government awards a trophy to the village with the most vaccinated people and a plaque declaring the village the winner. Stickers are also pasted on homes where people are fully vaccinated to encourage neighbors to do the same. District administrator Saumya Sharma said the campaign banks on the sense of community and pride residents have in their village. “That this is our village. And we are going to make it No. 1,” she said.In Juggar, home to several thousand of the over 155 million people who live in rural parts of India’s Uttar Pradesh state, villagers refused the vaccine when health officials first arrived there, paramedic Ravi Sharma said. Only after family members of health workers got their shots in public view did others begin to get the vaccine.Millions of people from eastern Bihar state, one of India’s least urbanized, migrate to the Middle East for work. With international travel impossible without certificates showing full vaccination, more people are signing up for jabs, said Dr. R.K. Chaudhary, who is in charge of a rural health center in Phulwari Sharif village.These strategies rest on methods that have worked in past vaccination campaigns. Performers with drums and clad in traditional attire are fanning out to Indian villages to underline the importance of getting the shot. Several states have organized mobile vaccination centers, where shots are given at highly visible places in village squares. The government has also used WhatsApp, which is ubiquitous in India, to help people book appointments for vaccines.Public health experts say the uptick in rural vaccinations is important because health care systems in villages are fragile. The deadly surge of infections that overwhelmed hospitals earlier this year ripped through rural India and thousands died. Moreover, migrants from villages move to cities for work and until everyone is vaccinated, outbreaks and even the possibility of a dangerous new variant can’t be discounted, said Lahariya.India has the infrastructure to vaccinate up to 10 million people daily, but is averaging between 5 million and 6 million, he said.So far, nearly 90% of the vaccines administered were the AstraZeneca shots made by the Serum Institute of India. The government hopes to solve the supply constraints that have hamstrung the vaccination effort with new production lines as well as the approval of a new homemade vaccine and another in the pipeline.India hopes that Bharat Biotech will make around a third of the 1.3 billion shots it needs. The company has struggled so far in scaling up and while a new facility, capable of making 10 million shots monthly, began production last week, the company is looking for international manufacturing partners.The Russian-made Sputnik V vaccine was given the nod by Indian regulators in April but accounts for less than 1% of total vaccinations. The company has arranged with several Indian vaccine makers to start making shots locally, hopefully by later this month.India expects 100 million Sputnik V shots and 50 million shots of Indian drugmaker Zydus Cadila’s recently greenlit COVID-19 vaccine later this year.Apart from this, the regulator approved Moderna’s COVID-19 vaccine in June and the single-dose Johnson & Johnson shot in August. But it is unclear when they will be administered.Meanwhile, Moderna and Pfizer have been discussing the signing of indemnity waivers for their vaccines for weeks with India’s federal government. Unlike some other countries and the U.N.- backed COVAX initiative, India doesn’t have a mechanism in place for people who suffer rare side effects to seek compensation, said Lahariya. He said these discussions were an opportunity to reexamine accountability and create a system where people are protected.Lahariya warned that even though he expected supply to improve, it was unlikely that India would have enough shots to immunize all adults by the end of the year. “No matter what,” he said.

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Rwandan President Removes Justice Minister Amid ‘Hotel Rwanda’ Hero Trial 

Rwanda’s President Paul Kagame has removed the justice minister but made him ambassador to Britain amid international scrutiny over the trial of Paul Rusesabagina, the hotelier credited with saving many lives during the 1994 genocide.   A government statement issued on Tuesday gave no reason for the dismissal of Johnston Busingye, who had served as justice minister and attorney general since 2013.   Busingye was appointed Rwanda’s ambassador to Britain, the statement said.   Kagame did not immediately name a new justice minister. Requests for comment to government spokespeople and the presidency office were not answered.   Rusesabagina was hailed as hero after he used his connections as the manager of a Kigali hotel to save ethnic Tutsis from slaughter during the genocide. He was portrayed in the 2004 Hollywood film “Hotel Rwanda.”   FILE – Paul Rusesabagina, the man who was hailed a hero in a Hollywood movie about Rwanda’s 1994 genocide is paraded in handcuffs in front of media at the headquarters of Rwanda’s Investigation Bureau, in Kigali, Aug. 31, 2020.Now he is accused of nine terrorism-related charges, including forming and funding an armed rebel group. Before his arrest, Rusesabagina, who was living in the United States, was a vocal critic of the Kagame government.   Prosecutors have requested a life sentence for Rusesabagina, whose family says he is in poor health and being mistreated in prison. The court is scheduled to issue its verdict on Sept. 20.In an interview with Qatar-based Al Jazeera news channel in February, then Minister Busingye said the government had paid for the flight that brought Rusesabagina to Rwanda last year, which Rusesabagina’s family said resulted in his kidnapping.  Rusesabagina’s trial has drawn attention to Kagame, whom rights groups say has used authoritarian tactics to crush political opposition and extend his rule.   The government’s arrest of Rusesabagina amounted to an enforced disappearance, a serious violation of international law, New York-based Human Rights Watch said at the time.   Kagame became head of state in 2000 after he and his rebel forces halted the genocide in 1994 after 100 days of bloodletting and around 800,000 deaths of ethnic Tutsis and moderate Hutus. He won landslide victories in subsequent elections, the most recent in 2017, when he won nearly 99% of the vote. He changed the constitution in 2015, enabling him to rule legally until 2034. 

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Tanzania Court Dismisses Objections to Opposition Leader’s Trial 

The terrorism case against the leader of Tanzania’s main opposition party can go ahead as planned, a high court judge in Dar es Salaam said Wednesday, dismissing objections by his party.   Chadema party chairman Freeman Mbowe and his supporters have described the charges as a politically-motivated effort to crush dissent, and accused police of torturing him in custody.   His lawyers had argued that the high court’s Corruption and Economic Crimes Division where he appeared had no powers to hear the case, which was previously being handled by a magistrate’s court.   But on Wednesday judge Elinaza Luvanda said that “this court has the jurisdiction to hear terrorism cases and therefore I don’t agree with the objection made by defendants.”   The hearing took place under tight security, with some representatives from foreign embassies and Chadema’s senior leaders in attendance, but many journalists were banned from entering the courtroom by police.    Mbowe has been behind bars since July 21 when he was arrested along with a number of other senior Chadema officials in a night-time police raid hours before they were to hold a public forum to demand constitutional reform.    The 59-year-old has been charged with terrorism financing and conspiracy in a case that has sparked concerns about democracy and the rule of law under President Samia Suluhu Hassan.   On Monday, Mbowe had appeared in court to pursue a case against top legal officials, claiming his constitutional rights had been violated during his arrest and when he was charged.   His defense team says he was held without charge for five days and then charged without his lawyer being present.   The opposition has denounced the arrests as a throwback to the oppressive rule of Tanzania’s late leader John Magufuli who died suddenly in March.   There had been hope Hassan would bring about a new era of democracy after the increasingly autocratic rule of Magufuli, nicknamed the “Bulldozer” for his uncompromising style.   But Chadema leaders say the arrests reflect a deepening slide into “dictatorship.” Prosecutors say the allegations against Mbowe do not relate to the constitutional reform conference Chadema had planned to hold in the port city of Mwanza in July, but to alleged offences last year in another part of Tanzania.    Chadema has said prosecutors accuse Mbowe of conspiring to attack a public official, and of giving 600,000 Tanzanian shillings ($260/220 euros) towards blowing up petrol stations and public gatherings and cutting down trees to block roads. 

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Zelenskiy Visiting White House for Talks on Security, Energy

Ukrainian President Volodymyr Zelenskiy visits the White House for talks Wednesday with U.S. President Joe Biden, a trip that has been in the works for two years and delayed one day due to consultations about events in Afghanistan.  Senior U.S. administration officials said the message behind the visit is “the United States’ commitment to Ukraine sovereignty, territorial integrity, and Euro-Atlantic aspirations.”   The officials told reporters the agenda would include security issues, energy and climate policy and anti-corruption efforts in Ukraine. The officials also said the two sides would be announcing several agreements, including security assistance for Ukraine, humanitarian aid for those “impacted by the crisis with Russia in the east” and coronavirus aid. During the administration of former President Donald Trump, surrogates for Trump pressed Ukraine to open an investigation into activities involving the son of then-candidate Biden. The incidents led to President Trump’s first impeachment by the House of Representatives, and the political furor sidelined relations with Kyiv.  Analysts say there are both challenges and opportunities in the meeting between Biden and Zelenskiy in Washington. Ukraine Ambassador to the United States Oksana Markarova expressed optimism about the visit, saying it sends an important message about the U.S.-Ukraine relationship.Ukraine’s President Volodymyr Zelenskiy and Defense Minister Andrii Tarant are welcomed at the Pentagon in Arlington, Virginia, Aug. 31, 2021.“After (German) Chancellor (Angela) Merkel, President Zelenskiy is the second leader the U.S. is inviting to the White House with a visit to discuss some strategic issues,” Markarova told VOA. “So, I believe it shows the level of attention, focus and importance of our bilateral relations for both Ukraine and the United States.”    American experts agree that the Biden-Zelenskiy meeting is an opportunity to strengthen Ukraine-U.S. relations. Steven Pifer, a former U.S. ambassador to Ukraine, says the outcome of the meeting will depend to a great extent on Zelenskiy. “It seems to me, though, that part of the ability to make this a successful meeting will depend on what President Zelenskiy asks for,” Pifer told VOA. “He should moderate some of his requests because if he asks too much, he may be disappointed. You do not want to ask the question unless you are sure the answer is going to be ‘yes.’”   Among the more sensitive subjects are NATO membership and the Nord Stream 2 gas pipeline between Russia and Europe, which Ukraine opposes. Experts say it is important that Zelenskiy remain realistic and balanced when discussing these issues. “He should not expect any commitment from the United States regarding Ukraine and NATO. He should also not expect any change in the Biden position on Nord Stream 2,” said John Herbst, former U.S. ambassador to Ukraine and the director of the Atlantic Council’s Eurasia Center. “Zelenskiy has to make clear that he still opposes that decision and would like to see a change without antagonizing the president. So, he can do that, I think, by mentioning it, but not in a confrontational way in their White House meeting.” Daria Kalenyuk, the executive director of the Ukrainian Anti-Corruption Action Center, says Zelenskiy should remain assertive when discussing the Nord Stream 2 issue. She said White House’s decision to waive sanctions on Nord Stream 2 contradicts Biden’s statements on fighting corruption abroad. “The right thing would be to talk, not only about corruption in Ukraine, but also about geopolitical corruption and strategic corruption. We can and should ask why Nord Stream 2 is being finished despite it being the symbol of strategic corruption,” Kalenyuk said. Regarding security cooperation, the Biden administration has decided to support providing additional military aid to Ukraine in case of a possible escalation of its longstanding conflict with Russia in eastern Ukraine. In addition, Biden did signal his intention to provide Ukraine with $60 million more in U.S. military equipment. “I would think that additional American military assistance would be good,” Pifer said. “First of all, because it would help improve Ukrainians’ defense capabilities. That’s the practical step. But second of all, it would be a way to send a strong message of American support for Ukraine.” Ambassador Herbst said Biden should also be interested in supporting Ukraine through strong rhetoric. “He needs to demonstrate in very clear ways that the United States has Ukraine’s back — is supporting Ukraine — as Moscow continues this war. And Biden has even more reasons now to do it, after his administration’s disastrous handling of the pullout from Afghanistan. He needs to show that, in fact, he is a strong international player.” At the same time, the White House has repeatedly emphasized that it expects Ukraine to deliver tangible results in the country’s fight against corruption. Pifer said the biggest thing Zelenskiy can bring is a credible, compelling message of Kyiv’s commitment to reform.  “And that means a more open and competitive economy. It means rule of law, including reforming the judicial sector,” Pifer said. “It means reducing the outsize political and economic influence of the oligarchs. It means combating corruption.”  Ambassador Markarova is convinced the two presidents will see eye to eye, even on the more complex issues. “We know that both Ukraine and the U.S. are strategic partners and friends. So, the two leaders will discuss all the issues on the agenda like partners — sincerely and earnestly. And they will find solutions that are acceptable for both sides,” she said. Myroslava Gongadze contributed to this report. 

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Australia to Prioritize Mental and Physical Well-being of Afghan Refugees

Australia’s recently appointed adviser on Afghan refugees fleeing the Taliban said the exodus from the country poses unprecedented resettlement challenges for people working with refugees. Australia said it would offer sanctuary to 3,000 people fleeing Afghanistan by June 2022. A new advisory panel made up of Australian-Afghan community leaders, along with refugee and settlement experts, will help them chart a new life.  Australian immigration minister Alex Hawke said in a statement Monday the first priority would be safeguarding the “mental and physical wellbeing of the evacuees” who “have endured experiences of torture and trauma”.  Many would also have the anguish of leaving relatives behind in Afghanistan.   The Advisory Panel on Australia’s Resettlement of Afghan Nationals will liaise with the government and will be in place for at least a year.In this image provided by the Australian Defense Force on Aug. 22, 2021, Afghanistan evacuees arrive at Australia’s main operating base in the Middle East, on board a Royal Australian Air Force C-17A Globemaster.Its co-chair Paris Aristotle said the “residual trauma” of those fleeing Taliban-controlled Afghanistan will be “amongst the highest levels” of any refugees Australia has ever taken in. “We have never had to resettle groups out of a crisis in the middle of a pandemic before. One of the critical issues for people in this context is they will have to go quarantine on arrival for 14-days. That will be unfamiliar to them on top of having escaped in very dangerous and chaotic circumstances,” Aristotle said.Both Canada and Britain have said they would allow 20,000 Afghans to resettle. Australia will grant safe haven visas to 3,000 people, and the places will come from existing quotas of available humanitarian visas, and there will be no increase in overall numbers. However, Prime Minister Scott Morrison is hopeful more will follow. “We will do, we think, at least 3,000 this year. I actually believe it will be more based on, you know, the work that we are already doing. The challenge there will be how people actually get out of Afghanistan,” Morrison said.The Australian military rescued more than 4,000 people from Kabul airport since the start of the U.S.-led evacuation mission, which is now over. Between 2019 and 2020, Australia granted refugee status to just under 15,000 people. Most came from Iraq, the Democratic Republic of Congo and Myanmar. 

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DRC Court Upholds Rape Convictions of 19 Police, Soldiers

A Congolese military court has upheld the rape convictions of eight policemen and 11 soldiers, a court official told AFP Tuesday. The judgment, which was handed down on Monday, means they will serve between 12 months and 20 years in jail. The rapes were committed mainly against minors, according to the court in South Kivu province, in the troubled far east of the Democratic Republic of Congo. The defendants were also ordered to pay damages and interest, sources said. “This appeal trial has been exemplary for women’s rights,” Innocent Mayembe Sangala, a top official of the South Kivu military court, told AFP. Congolese justice was “extremely rigorous regarding rape, especially the rape of children,” he said. Victims included children ranging in age from 3 months to 17 years, Sangala told AFP, adding that they included “women who were torn away from their husbands or raped in front of their brothers or children.” The atrocities were “so savage” that the court could not be lenient, Sangala said. The rapes were committed between 2016 and 2021 in several South Kivu towns. 
 

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Biden Defends Ending America’s Longest War

Amid intense criticism of his administration’s chaotic evacuation from Afghanistan, President Joe Biden addressed the nation on Tuesday and defended how he has ended America’s longest war. White House Bureau Chief Patsy Widakuswara has this story.Produced by: Barry Unger        

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Leaving Afghanistan, US General’s Ghostly Image Books Place in History

Carrying his rifle down by his side, Major General Chris Donahue, commander of the storied 82nd Airborne Division, became the last U.S. soldier to board the final C-17 transport plane flight out of Afghanistan a minute before midnight on Monday.Taken with a night vision device, the ghostly green and black image of the general striding toward the aircraft waiting on the tarmac at Kabul’s Hamid Karzai Airport was released by the Pentagon hours after the United States ended its 20-year military presence in Afghanistan.As a moment in history, the image of Donahue’s departure could be cast alongside that of a Soviet general, who led an armored column across the Friendship Bridge to Uzbekistan, when the Red Army made its final exit from Afghanistan in 1989.Completing a military operation that with the help of allies succeeded in evacuating 123,000 civilians from Afghanistan, the last plane load of U.S. troops left under cover of the night.Though it is a still image, Donahue appears to be moving briskly, his face expressionless. He is wearing full combat gear, with night vision goggles atop his helmet, and rifle by his side. He had yet to leave Afghanistan behind and reach safety.In contrast, the images of General Boris Gromov, commander of Soviet Union’s 40th Army in Afghanistan, show him walking arm-in-arm with his son on the bridge across the Amu Darya river carrying a bouquet of red and white flowers.The U.S. and Soviet withdrawals from a country that has become known as a graveyard for empires were conducted in very different ways, but at least they avoided the calamitous defeat suffered by Britain in the First Anglo-Afghan war in 1842.The abiding image from that conflict is Elizabeth Thompson’s oil painting “Remnants of an Army” depicting a solitary exhausted rider, military assistant surgeon William Brydon, swaying back in the saddle of an even more exhausted horse in the retreat from Kabul.When Russia’s Red Army left, a pro-Moscow communist government was still in power and its army would fight on for three more years, whereas U.S.-backed Afghan government had already capitulated and Kabul had fallen to the Taliban a little over two weeks before the Aug. 31 deadline for U.S. troops to depart.Making an orderly exit, the last of Gromov’s 50,000 troops still suffered isolated attacks as they drove northwards to the Uzbek border, though they had paid mujahideen groups to secure safe passage along the way.Gromov’s column crossed the Friendship Bridge on Feb. 15, 1989, ending the Soviet Union’s 10-year war in Afghanistan, during which more than 14,450 Soviet military personnel were killed.Asked how he felt about returning to Soviet soil, Gromov is reported to have answered: “Joy, that we carried out our duty and came home. I did not look back.”  

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Russia Casts a Pragmatic Eye on Afghanistan’s Taliban 


In the aftermath of the Taliban takeover in Afghanistan, Russia is looking south with a wary eye to see how it can benefit from a situation fraught with both opportunity and risk.  VOA U.N. Correspondent Margaret Besheer reports.  

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