For me the most striking point is that measures other countries are adopting as they ease restrictions look rather like what Sweden has been doing. South Africa is going to “Level 4” but the rationale is not apparent from the death rate or infection rate, which both continue to curve upward. I think there is a lot of tacit admission of failure going on in places where a lockdown should have been more carefully considered.
If you’ve never been to an African hospital, please watch just a few seconds of this (not graphic/gruesome, just informative) #epitwitter
Thanzi la Onse (Health of All) from PICTURING HEALTH on Vimeo.
This is a film someone sent me about allocating resources in Malawi’s main hospital, and by extension, in all low resource settings. It’s interesting in itself but I think just the images are worth seeing if you’re from the West/North and have a Western/Northern image of a hospital. It’s not gruesome or graphic: it’s just striking how small and informal everything looks. Watch a bit more and you’ll get a flavor of both the shortages, and the way that allocation works – competition, persuasion, patching budgets together. It gives you a flavour of the sub-Saharan context of operation. The lack of basic equipment such as ventilators is of course shocking. (If you aren’t aware, the ICU unit is fundamentally built around the mechanical ventilator.) It’s eye-opening. You’ll see what I mean…
“Lockdown is a luxury” – Online Covid-19 Conversation #1, 25 April, Atlantic Fellows for Social and Economic Equity
https://afsee.atlanticfellows.org/events/lockdown-is-a-luxury
25 April 14:00 UTC / 15:00 London / 16:00 Johannesburg / 17:00 Nairobi / 19:30 New Delhi / 19:45 Kathmandu
Registration: https://us02web.zoom.us/meeting/register/upwrfu2pqz4tH9ZCBpKzvlXj4keyGefn5vlJ
Join the first of Atlantic Fellows for Social and Economic Equity’s online conversations that look towards a new social and economic future after the COVID-19 pandemic. “Lockdown is a Luxury” will be led by Fellows living and working in Asia and Africa. Saida Ali, Tracy Jooste, Appu Suresh and Kripa Basnyat will share first-hand experiences and insights on the pandemic and its current and long-term impacts.
A third of the world’s population — some 2.6 billion people — are now under varying degrees of lockdown in the wake of the coronavirus pandemic. For those who have the privilege of withdrawing into comfortable isolation, who can work from home and who have enough money to weather the storm, lockdown and social distancing are effective options. But what about the poor, who make up the majority of the world’s population and who are already facing social and economic inequalities? Is the worldwide WHO-approved lockdown an unaffordable luxury?
From street vendors to house cleaners, sex workers to migrant labourers, daily wage workers everywhere are struggling with immediate and often complete losses of income and the impracticality of following measures such as lockdowns and social distancing. Those living in dense, low-income informal settlements in countries such as Kenya, India, Bangladesh, South Africa and Brazil have seen limited access to water and sanitation restricted further still. Around the world, cases of domestic violence and sexual abuse are rising. “Flattening the curve” is a distant goal, but hunger and poverty are here now.
In India, nearly 400 million migrant workers’ lives have been upended. As places of work close down, as states shut borders and halt transportation, and as workers run out of cash, they have no choice but to walk hundreds of miles back home. In Kenya, rural widows are working and walking longer hours for fewer shillings to put food on the table: the struggle now is not for social justice or gender equity, but survival. For millions of Africans, coronavirus and the responses of states and governments have only exacerbated poverty and powerlessness.
What does today look like on the ground in Asia and Africa? What will tomorrow bring? Atlantic Fellows for Social and Economic Equity — activists, policy-makers, practitioners and movement-builders from around the world — offer their insights.
Speakers: Saida Ali, Kripa Basnyat, Tracy Jooste, Appu Suresh
Nigerian citizen: I prefer to die from COVID-19 than hunger – CNN video
NEW* installation guide for low-cost #oxygen systems in low-resource settings. Includes #COVID19 isolation ward specs, tips on simple tubing to beds, and DIY flowmeter stand. Free to use and adapt. Please share.
Via Twitter from @GrahamHamish
https://drive.google.com/drive/folders/1m6qf_C1wxSfVi4AyPsm-c19TmG0B8k8C
Lower COVID risk among smokers?… #epitwitter
Some evidence that some smokers may in fact have LESS serious symptoms than non smokers. Interesting! Wonder if this will hold water on further investigation. The researchers are now planning to test nicotine patches.
Report on Weekly Deaths in South Africa 1 Jan – 7 April 2020 #epitwitter
7 min version of COVID on the Breadline
15 fatalities on the 15th in a taxi/minibus crash – maybe South Africans have a reason to fear COVID-19 less than Europeans

On 15 April, 15 occupants of a taxi-minibus (i.e. all of them) died in a head-on collision. Lockdown has reduced road fatalities to a record low, ironically; these people were particularly unlucky. But the event illustrates the kind of hazard that South Africans face daily. Life expectancy here is 59 for men, 65 for women. COVID-19 mortality rises sharply in the 60s, and, while this may not “transport” to African populations, we’re apparently happy to “transport” the exact same measures used elsewhere. Not enough cost-benefit analysis being done. Lockdown might save some from road traffic accidents but it will kill more from malnutrition and diseases endemic in the region, as malnutrition reduces resistance and medical supplies are diverted.
COVID on the Breadline
The Institute for the Future of Knowledge at the University of Johannesburg has partnered with Picturing Health to make a short documentary depicting the impact of severe lockdown measures on those living in poverty in the developing world.
COVID on the Breadline from PICTURING HEALTH on Vimeo.