Get more Mail & Guardian
Subscribe or Login

Africa’s leaders have left us at the mercy of the West on vaccines

Much has been written about the vaccine nationalism debate surrounding the various Covid-19 vaccines. By now the outlines of the story are familiar. Wealthy countries and alliances like Canada, the US and the EU are hoarding Covid-19 vaccines and refusing to support a motion at the World Trade Organisation, brought by South Africa and India, to waive intellectual property rights that will allow poorer nations to manufacture generic versions of the vaccines. 

Even the Covax Alliance, the World Health Organisation’s initiative to distribute vaccines to developing nations, is not safe from the meddling of wealthy countries: either they have been slow to support it; or in Canada’s case, have actively undermined it by signing up for 1.9-million doses, despite having already purchased enough vaccines for each of its citizens to be vaccinated six times over.

But what’s missing from this discussion is the culpability of African leaders in leaving us once again dependent on the mercy of Western nations.

In more than a year of reporting on the pandemic, I have been fortunate enough to speak to two of the leading figures in Africa’s fight against the virus. Both of them, in carefully diplomatic language, have made it clear that the biggest challenge in Africa’s response to the pandemic has been the preparedness – or lack thereof – of Africa’s health systems.

Dr Chikwe Ihekweazu, the director general of the Nigeria Centre for Disease Control, told me last April: “We haven’t invested enough as a country in building enough molecular labs to help us with this [testing] across Nigeria.” 

Last month, Dr John Nkengasong, director of the Africa Centres for Disease Control and Prevention, while praising the efforts of African leaders to secure additional vaccines for the continent, pointedly observed: “We need a new public health order for our security… We have to be very deliberate in our public health workforce development. We need 6 000 epidemiologists. We only have 1 900 on a continent of 1.2-billion people. That’s like going to a gunfight with a knife. We need 25 000 front-line responders; we only have about 5 000. That’s not acceptable.”

Both of these men are public health experts with decades of experience behind them. It’s not hard to see why they are underwhelmed by Africa’s state of readiness when it comes to public health threats. 

In 2001, members of the African Union agreed to spend 15% of their national budgets on health. By 2018, only two countries had met this lofty goal. Nigeria’s biggest increase in five years in 2020 saw it rise only to 4%. Doctors in Nigeria are routinely underpaid and work in deplorable conditions. This is a country where it is not uncommon for surgeries to be carried out by lamp- and candlelight in the absence of reliable electricity.

Amid a crushing pandemic, South Africa went the other way – it cut its own health budget in the most recent budget presented to the nation.

These are Africa’s two biggest economies. The situation is even starker in smaller countries. Take the tiny nation of Equatorial Guinea, where more than half of its population of 1.4-million people does not have reliable access to clean water – despite the country’s immense oil wealth. 

Instead of investing in public health infrastructure, too many African leaders borrow heavily and often without discretion to fund infrastructure projects that are painfully over-budget and that no-one is seriously asking for. South Africa is again a case in point: it wants to spend R10-billion to save South African Airways, the national carrier that has repeatedly failed to turn a profit.

Of course, few African leaders actually have to interact with their own under-funded health systems. When they get sick, they can and do travel at a moment’s notice to receive medical attention in European and Asian hospitals.

So yes, we can righteously berate Western nations for hoarding vaccines for themselves. But as we do so we must ask ourselves: did we really expect anything different from these countries, which were constructed on a foundation of imperialism and colonialism? And, knowing this, how have our leaders failed to free us from this dependency?

This story first appeared in The Continent, the award-winning pan-African newspaper designed to be read and shared on WhatsApp. Aanu Adeoye is The Continent’s news editor.

Subscribe to the M&G

Thanks for enjoying the Mail & Guardian, we’re proud of our 36 year history, throughout which we have delivered to readers the most important, unbiased stories in South Africa. Good journalism costs, though, and right from our very first edition we’ve relied on reader subscriptions to protect our independence.

Digital subscribers get access to all of our award-winning journalism, including premium features, as well as exclusive events, newsletters, webinars and the cryptic crossword. Click here to find out how to join them.

Aanu Adeoye
Aanu Adeoye is a media fellow at Germany’s Konrad Adenauer Stiftung

Related stories

WELCOME TO YOUR M&G

If you’re reading this, you clearly have great taste

If you haven’t already, you can subscribe to the Mail & Guardian for less than the cost of a cup of coffee a week, and get more great reads.

Already a subscriber? Sign in here

Advertising

Subscribers only

Cabinet reshuffle not on cards yet

There are calls for the president to act against ministers said to be responsible for the state’s slow response to the unrest, but his hands are tied

Rwanda’s involvement in Ramaphosa phone surveillance will further strain relations

But experts doubt the South African intelligence community has the capacity even to establish whether Ramaphosa’s phone was compromised

More top stories

IEC to ask the courts to postpone local elections

The chairperson of the Electoral Commission of South Africa said the Moseneke inquiry found that the elections would not be free and fair if held in October

Daily new Covid-19 cases drop, but recent civil unrest might...

Acting health minister Mmamoloko Kubayi says 120 private pharmacies were destroyed and 47 500 vaccines lost in KwaZulu-Natal

Western Cape closes roads to end deadly taxi violence

The closure of the Mbekweni/Paarl and Bellville route comes as negotiations between taxi operators fail and will affect thousands of commuters

Cabinet reshuffle not on cards yet

There are calls for the president to act against ministers said to be responsible for the state’s slow response to the unrest, but his hands are tied
Advertising

press releases

Loading latest Press Releases…
×