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United Nations Association of New Zealand
Special for Global Health.
By Jean-Paul Bizoza
05 Nov 2021
The concept of Global health was initiated by the United Nations (UN) with the world bank in 1945 and finally implemented by the World health organization (WHO) in 1948 after devastating epidemics that took thousand lives at the time. Since then, the United Nations health agency has taken measures to improve global health through research initiatives, monitoring, leadership and best practice standards among members of states. The concept of Global Health (GH) is not to be confused with international health, which is defined as the branch of public health focusing foreign aid efforts for developing nations. In contrast, global health emphasizes governance arrangements, development frameworks, social dynamics of health and international health systems. As a new area of special expertise, I will mainly focus on COVID-19 implications on global health and advancement for a Framework Convention on Global Health (FCGH) including New Zealand commitments to the World Health Organization, global health equity and sustainable development Goals in the Western Pacific Region.
The impact of COVID-19 on global health
The impact of a COVID-19 pandemic has led to millions of deaths and global disruption to almost every part of life. Amid a global health coronavirus crisis, there are questions as to how governments have responded to the pandemic. In the case of Aotearoa New Zealand, the government was initially praised for its elimination strategy, which successfully kept COVID cases out of the community in 2020. As the highly infectious Delta strain began wreaking havoc across Auckland in 2021, the Ministry of Health abandoned the initial strategy (elimination), and it approved a “COVID-19 Protection Framework” as a new pathway out of lockdown.
The Protection Framework, which became contentious (vague) and will be initiated when once 90% of eligible New Zealanders are fully vaccinated According to the NZ Ministry of Health. It is anticipated that the framework will open borders to the world and provide freedom of movements with less disruption. With the new approach announced by the NZ Prime Minister, there are now questions whether opening up the borders will hit the highest contagious Delta variant Covid-19 cases in the community leading to a potential overwhelming health system. The framework has also raised questions whether it adheres to WHO best available expert advice on COVID-19 response especially technical guidance on lockdown, vaccine equity, human rights and the importance of reliable information quality at a time when rumors are thriving.
To start with, the WHO recommends countries to open border restrictions cautiously, whilst keeping COVID-19 golden rules that encompass vaccination, physical distance of at least 2 meters from others, use of properly fitted masks and cleaning hands frequently and self-isolation for infected people. The WHO strongly advocates for health equity and protection of the most vulnerable people. In addition, the WHO urges members of states to avoid a "global one size fits all policy", and it urges them to adhere to vaccine equity targets as this will substantially increase population immunity globally, protect health systems, enable economies to fully restart and ultimately reduce the risk of new variants emerging. One would then ask whether New Zealand has taken into account the recommendations above with regards to COVID-19 global response, particularly vaccine equity for our neighbor pacific nations through COVID-19 Vaccines Global Access also known as COVAX. As a country that supports the concept of global citizenship, one would also question New Zealand contribution vis a vis equitable vaccine for most vulnerable people in the western pacific nations.
What should United Nations Association of New Zealand do?
UNANZ's role is mainly to help New Zealanders understand the UN and promote engagement with it. Thus, it should encourage New Zealand to promote the UN multilateral system, human rights on COVID-19 (individual liberty) and effective global cooperation. Threats to people’s livelihood and human survival, brought on by COVID-19 demonstrates that the pandemic is more than a health crisis, which requires successful epidemic prevention efforts from national, regional and global level. In the light of that, New Zealand needs to promote the Global Health Security Initiative. I.e., The effects of the pandemic between and within countries will be felt on a global scale for years to come.
Importantly, New Zealand needs to advance “health for all / best care for everyone policy”, build a world where people regardless of where they live, or who they are, have urgent access to vaccinations. As the pandemic has shown, no one is safe until everyone is safe and a global/complex threat requires global solutions. Vaccine equity is paramount as it is a powerful tool in stopping the vast majority of people getting sick, hospitalized and dying. While we encourage people to take vaccination, we should make sure that the Ministry of Health response to coronavirus is grounded in the principles of human right, public trust, transparency, respect and empathy for the most vulnerable.
We are in this together, all have to play our part and will get through this together, He waka eke noa
End
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COVID-19 impact on the UN Humanitarian agencies, New Zealand role in the Pacific.
By Jean-Paul Bizoza Special Officer for Humanitarian Affairs (2020-21), The United Nations Association of New Zealand
The World Health Organization (WHO) affirms that the novel coronavirus (COVID-19) pandemic represents an international threat to humankind. The UN health agency reports that COVID-19 has affected 172 million and killed over 3 million people since it was first reported in Wuhan,Hubei province, in late December 2019.
The loss of human life on such scale presents an unprecedented challenge to global health, economic security and the UN's Sustainable Development Goal 3, which aims to ensure healthy lives and wellbeing for all. Likewise, the negative impact of the outbreak is already visible on global health systems in the countries that are experiencing outbreaks spike of COVID-19 cases particularly Italy, Spain, South Africa, USA, Brazil and recently India. The virus has overwhelmed health systems and triggered direct mortality and indirect loss of life from treatable conditions. Thus, COVID-19 is not only a global pandemic and it has also negatively affected financial markets and the global economy.
While many countries' health systems are on the verge of collapse due to the pandemic, the WHO considers New Zealand as ‘pandemic leadership master on Coronavirus response specifically for its robust contact-tracing, consistent public communications and extensive testing. The WHO recognizes that leadership, communication that help stop the transmission of COVID-19 and health guidelines compliance are key to New Zealand's COVID-19 success. It has co-opted NZ former prime minister Helen Clark as one of panel members for probing WHO's andemic response.
Reciprocally, New Zealand commends critical roles that the UN global health agency plays in the fight against the pandemic particularly data sharing, guidance and expertise. Although New Zealand success has been recognized globally, questions have been raised as to what role New Zealand could play to assist pacific nations or prevent the spread of COVID-19 to Pacific nations, which are still relatively free of the virus.
There are global concerns around mandatory and mass quarantines to severe restrictions on the movement of people. This has raised concerns about how countries adhere to international human rights obligations, Bills of Rights and other UN conventions that establish responsibilities, rights, and limitations, which are directly relevant to coronavirus pandemic. i.e., Governments and health systems have an obligation to ensure, to the best of their ability, adequate provision of health care for all.
The challenge that the international community now faces is how each member of states will strengthen global action, cooperation and leadership or assist the WHO to fight against Covid-19. This will require a cohesion, global response, construction criticism, engagement and initiatives that aim to help nations find common ground. The WHO believes that countries should collaborate and discourage racist discourses associated with COVID-19 particularly linguistic discrimination such as “imported cases, Chinese virus, India Virus, UK virus, RSA Virus , Brazil Virus, Portugal Virus etc...”
The racist COVID-19 phrases create hatred, distracts countries from fighting effectively the pandemic, and they are not aligned with the UN health agency and its ideals. Thus, associating the virus with foreigners also plays cognitive bias against outsiders only create fear of contagion. The WHO Director-General Tedros Adhanom Ghebreyesus reminds that "turning on each other or blaming does not help to fight the pandemic and the virus is the problem, not the people in order to fight COVID-19. He indicates that every country should focus on building more equal, inclusive and sustainable economies and societies that are more resilient in the face of pandemics, and the many other global humanitarian challenges we face."
COVID-19 from UNHCR perspective.
Many refugee camps suffer from insufficient hygiene and sanitation facilities, creating conditions conducive to the spread of free of COVID-19 particularly, social distancing, which seems to be physically impossible in many refugee camps or crowded urban areas. Deteriorated health conditions due to malnutrition, poor sanitation, lack of access to clean water, and basic medical care means displaced populations are acutely vulnerable.
NGOs: Due COVID-19 lockdown or restrictions of the movement, charities and international non- governmental organizations have a limit access to field operations where essential interventions in terms of life saving is highly needed. COVID 19 has affected not only the humanitarian donations, and it has worsened poverty to countries where conflict, violence, natural disasters, climatic or economic shocks have been deteriorating the resilience capacity of the population.
World Food program: (WFP) reports that COVID-19 pandemic has disrupted economic activities and triggered food insecurity especially in the countries that have experienced conflict and other disasters. In the Pacific the WFP collaborates with the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) in responding to emergencies through Food Security and Logistics. Currently, New Zealand provides 60% around $1.331 billion (2018-2021) of the Official Development Assistance (ODA) funding.
To recap COVID-19 is an international threat to humankind. Therefore, nations need to strengthen the WHO ideals. The WHO came into force on 7 April 1948 with the main goal to lead partners in global health responses and direct international health through the United Nations' system. The WHO currently monitors the COVID-19 worldwide, provides technical guidance and medical equipment to vulnerable countries. It also delivers epidemiological and operational updates and disseminates them to all nations.
Furthermore, the WHO is leading countries for COVID-19 containment and coordinating Solidarity Response Fund. As COVID-19 increasingly affects countries with under-resourced health infrastructure and services, the WHO will ensure that all people in all UN member states are able to access essential medicines especially potential vaccine.
Finally, COVID-19 is here for the long haul, and the UNANZ should strengthen New Zealand engagement to UN Health and Humanitarian agencies. It needs to encourage COVID-19 frameworks that mainly focus on the WHO recommendations, sustaining economies and global health security. Furthermore, COVID -19 fight requires international solidarity. Covid-19 is a global challenge that demands researchers, policymakers, and governments to address multiple dimensions that go far beyond the implications of this pandemic for health and wellbeing. If the virus is allowed to move unchecked in some nations or regions, it will eventually resurge in others.
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What can world learn from New Zealand / COVID-19
2019-nCov initially started in Wuhan, China at a seafood market. But, the real origin of the virus is still mysterious (heaps of conspiracy theories are still flushing globally). Hundreds of thousands affected, dead, dying, critically ill although many recovered. Most death in the over 70 group or those with underlying health issue. Health Researchers noted that people who are infected with the virus may be asymptomatic or develop flu-like symptoms, including fever, cough, fatigue and shortness of breath. As of today, 1 May 2020, New Zealand has moved to stage 3 lockdown for 14 days, with global caes encompass 4000 000 expected May 2020.
Government has closed the border to everyone but returning New Zealand nationals/residents and makes it mandatory to self-isolate for 14 days for anyone enters the country. Those without an isolation plan are put into lockdown in hotels with an arranged payment (win-win). Panic buying set in during stage 2, 3 and at the start of stage 4 people had no toilet paper, no disinfecting supplies, no paper towel, no laundry soap, no hand sanitizer, no flour or yeast. Self-distancing measures mean we must each stay in our "bubbles" consisting in households/people living together. on Wednesday 26th March people were given 48 hours’ notice.
Over 70's and those with underlying health issues or weakened immune systems told to self-isolate for the duration of the lockdown where possible. Till, tape on the floors at food supermarkets to help distance shoppers 2m (6ft) from each other. Limited number of people inside stores, therefore lineups outside the store doors. Non-essential stores and businesses, trades closed. Supermarkets, pharmacies, dairies only shops allowed to open. Drs and Vets open but must phone ahead, many consultations via phone/skype etc Those who are lucky enough to have a job that is able to be done from home without the need to have physical contact are able to continue to work.
- Children's playgrounds, bush trails, water activities, visits to the beach, swimming pools, gyms are off limits.
- Entire sports seasons cancelled.
- Concerts, tours, festivals, entertainment events - cancelled.
- Weddings, family celebrations, holiday gatherings - cancelled.
- Funerals limited to only those within the deceased's bubble. No religious services, churches, mosques, temples are closed. Schools/daycare/uni's are all closed. No gatherings permitted. Not allowed to physically able to socialize with anyone outside of your bubble.
- When we are at supermarkets, we are to maintain a distance from each other minimum of 2m.
- Allowed outside for walks/cycling but must stay within their neighborhood and observe the 2m rule.
Shortage of masks, gowns, gloves for our front-line workers were somehow obvious. Around the World there is a shortage of respirators, hospitals, nursing staff and Dr's- chaos! Wuhan, Italy, Spain, Iran, UK and USA are the worst hit so far with over 1500 000 infected Worldwide, over 83000 deaths with the youngest victim 6 weeks old. The figures from around the World show a @10% mortality rate. China claimed only 3% mortality rate which is suspected to be incorrect possibly because many died before anyone knew what it was Covid-19.
In New Zealand over 1400 infected and a very small numbers of deaths,1 majority recovered. Back to the rule above, bubbles nominate someone as their designated shopper…Supermarkets limit purchase of certain items to 2 per customer. Manufacturers, distilleries and other businesses around the World switching their lines to help make visors, masks, hand sanitizer and PPE. uhh, phone and email addresses are set up for the public to report anyone breaking isolation rules, not paying workers their government subsidized wage or for those price-gauging others.
Press conferences daily from the Prime Minister, similar like a president or head of state are provided. The future seems uncertain and one can notice daily life change:
- Barely anyone in the street or on the roads.
- People wearing masks and gloves outside.
- Essential service workers are terrified to go to work.
- Medical workers are afraid to go home to their families.
What's the future of COVID-19? Three scenarios are possible:
Scenario 1: The first wave of Covid-19 in spring 2020 is followed by a series of repetitive smaller waves that occur through the summer and then consistently over a one- to two-year period, gradually diminishing sometime in 2021
Scenario 2: The first wave of Covid-19 is followed by a larger wave in the fall or winter and one or more smaller waves in 2021."This pattern will require the reinstitution of mitigation measures in the fall in an attempt to drive down spread of infection and prevent healthcare systems from being overwhelmed. This pattern is similar to what was seen with the 1918-19 pandemic."
Scenario 3: A"slow burn" of ongoing transmission. "This third scenario likely would not require the reinstitution of mitigation measures, although cases and deaths will continue to occur." So, let's hope that your country overcome COVID-19. Remember to be thankful and do not take the things we dearly love for granted.
Let's know the scanario that applies to your country, leave us comments?
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Refugee policy issues in New Zealand.
SO Humanitarian Affairs report by Jean-Paul Bizoza - UNA NZ National Council Meeting November 2019