Oxygen deficiency threatens ‘complete collapse’ of dozens of health systems Global development

Dozens of countries are facing severe oxygen shortages due to the growing number of cases of Covid 19, which threatens to “completely destroy” health systems.

Bureau of Investigative Journalism Data provided by Every, Every Breath Counts Alliance, NGO Path and the Clinton Health X Initiative (CHAI) were analyzed to find the highest risk of oxygen deprivation in these countries. It also studied global vaccination rates.

After recording a strong increase in demand since March – 19 countries around the world – including India, Argentina, Iran, Nepal, the Philippines, Malaysia, Pakistan, Costa Rica, Ecuador and South Africa, at least 20%. Demand an increase. – While less than 20% of their population has been vaccinated.

A man will keep an eye on his wife, who is suspected to be in a hospital in Argentina.
A man is keeping an eye on his wife, who is suspected to be in a hospital in Cuvied-19, Argentina’s Lumas de Zamora. Photographer: Natacha Pesrenko / AP

There are concerns that other Asian countries, such as Laos, are at risk, and African countries, including Nigeria, Ethiopia, Malawi and Zimbabwe, which have low oxygen supply systems, mean a slight increase in demand. This can be a big problem.

Leth Greenslade, co-ordinator of the Breath Counts Alliance, said many of these countries experienced oxygen shortages before the epidemic. An additional need is to bring the health system to the brink.

“The situation last year, and in January this year in Brazil and Peru, should have risen again,” he said. “But the world did not wake up. We should know that India would be after seeing what happened in Latin America. And now looking at Asia, we should know that it will be in some of the big cities in Africa.

“We can see a complete collapse of health systems, especially in countries with the most fragile systems,” Robert Mattero, head of the Cowade-19 Oxygen Emergency Task Force, told the bureau.

Significant oxygen shortages are reported in India’s hospitals as the country fights its second wave. As of mid-May, India needed 15.5 million cubic meters of extra oxygen a day for Code-19 patients, 14 times more than it needed in March, according to the Bureau’s analysis.

Oxygen provided by an NGO in Amritsar, India
Oxygen provided by an NGO in Amritsar, India. Photo: Narendra Nano / AFP / Getty

In response, India has banned all exports of liquid and cylinder oxygen.

But experts are worried about India’s neighbors, Pakistan, Nepal, Bangladesh, Sri Lanka and Myanmar, some of whom rely on Indian-made oxygen and equipment.

“You would imagine that if they started looking at peaks of the same degree, the situation could be even worse, because India needs all the equipment,” said Zachary Katz, vice president of essential medicines at Chi Chi. Said

Bureau figures show that Nepal now needs more than 100 times as much oxygen in March.

Oxygen demand in Sri Lanka has increased sevenfold since mid-March. In Pakistan, which is suffering from its third wave of illnesses, nearly 60% more patients were hospitalized on oxygen than the country’s previous peak last summer, according to a government minister who Warned that the supply of oxygen is coming under pressure. Dangerous levels

“The mood is very worrying,” said Dr Faiza Jahan in Karachi. “I think we are very scared of a situation like India. We’re hoping there’s some magic, and that’s it [current] Lockdown can prevent a new attack on affairs.

A lorry is full of oxygen cylinders to supply private hospitals in Karachi
A lorry is loaded with oxygen cylinders to supply private hospitals in Karachi, Pakistan. Photograph: Farid Khan / AP

“The rapidly growing need for oxygen puts pressure on the health system, which cannot be met, and we are seeing patient deaths,” Greenslade said. “And this vaccine rollout happens gradually, week after week, month after month, because at that time, in many of these countries, it is the increase in vaccine coverage that will turn the tide of the transition.” ۔ “

Greenslade said health systems in many poor countries “cannot be overstated”. “From the head of state, the minister of health, to the finance minister; these countries have not given priority to oxygen as an essential medicine. As we are seeing in India, many people are dying every day due to lack of oxygen. Live

Several countries have demanded that companies that produce liquid oxygen move products from their industrial clients to hospitals. Medical oxygen accounts for only 1% of the world’s liquid oxygen production.

The newly installed oxygen tanks are loaded at the Ramlila Ground in New Delhi, India
The newly installed oxygen tanks are loaded at the Ramlila Ground in New Delhi, India. Photo: Arun Shankar / AFP / Getty

However, Gasworld Business Intelligence data, which analyzes the global industrial gas market, shows that many countries will face shortages despite the need, even if all Local oxygen production was diverted to hospitals.

In Iraq, gas companies can produce approximately 64,000 64ic cubic cubic meters of liquid oxygen a day, one-third of the need of Kovid-patientsov patients. In Colombia, the industry can only supply 450,000 cubic meters, less than two-thirds of what is needed.

In Peru, gas companies can only get 80% oxygen if all the oxygen is diverted to healthcare. “Currently, Peru is registering a drop-in [Covid] Dr. Jesse Valverde Hamman, who works in an ICU in Lima, said. However, we still need medical oxygen, especially in hospitals. “In November and December last year, when cases dropped, there has been a constant struggle to find enough oxygen for patients, except for a brief strain,” he said.

Hundreds of people in Peru are waiting for oxygen tanks to be refilled
Hundreds of Peruvians wait to refill oxygen tanks outside a gas plant in Lima’s San Juan de Loregano. Photo: Gyan Mazko / AFP / Getty Images

Greenslade said: “We have a very important question to ask: why are essential resources like oxygen shut down in mining, steel, oil and gas when the poor government hospital system is so poor to keep children, adults and the elderly Cannot provide

He said these countries need to look closely at how they are investing in medical oxygen in the health system. If mining companies have the capacity to extract oxygen, the healthcare system must have this capacity to save lives.

Although liquid oxygen is an important resource for medical professionals in many countries, not all of its supplies account for it. Hospitals can also get oxygen from on-site factories that convert ambient air into oxygen, and also from portable concentrator machines.

The World Health Organization, UNICEF, the World Bank and other donors and NGOs have sent millions of people to various countries to help meet the growing oxygen needs, but the manufacturing segment is very small. ۔

The World Bank has warned that many countries have not applied for emergency loans available to help upgrade the oxygen system. Last year, the World Bank provided ممالک 160 billion (11 113 billion) to countries for the development of the Cowade-19, and added an additional 12 12 billion this month. Cash can be used to import oxygen or speed up production.

United and Wellcome have donated 20 20 million to the Emergency Fund for Oxygen in low-income countries. The International Fund has also provided کو 13.7 billion in grants to countries for use in Code 19 response programs, including the construction of oxygen concentration buyers and public oxygen plants.

Campaigners want emergency, rapid funding to supply oxygen anywhere in the world.

Paramedics assessed a Code 19 patient in Lenisia, Johannesburg.
The paramedics of the community-run ambulance service are assessing a patient with Covid 19 in Lancaster, Johannesburg. Photograph: Michelle Spatari / AFP / Getty

But Mickey Chopra, a senior World Bank official, said countries had applied for loans for ventilators and PPEs but not for oxygen. “The variations and sudden spikes we have seen now have taken people by surprise, and the weakest point of the system has become the oxygen supply system.”

Looking ahead, Greenslade would like to see governments develop a comprehensive national medical oxygen strategy, and workers are trained to deliver oxygen safely to patients and to maintain and repair equipment.

“Countries need to plan for an unexpected increase in demand,” he said. “They are doing it when the crisis comes,” he said. [governments] Crowds come together to come up with some way to organize a group. But they need to get out before the game.

Additional Reporting by Oksana Gretzenko, Inmol Irfan, Ivan Ruiz, Rizwan Shehzad Natalie Vykrov, Claudia Chavez and Ralph Zapata


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