Disease is threatening to aggravate the already dire conditions facing millions of survivors following the powerful tropical cyclone which ravaged southern Africa 10 days ago, officials warned on Sunday.
Cyclone Idai smashed into Mozambique’s coast unleashing hurricane-force wind and rain that flooded swathes of the poor country before battering eastern Zimbabwe — killing 705 people across the two nations.
Amid the ongoing crisis, Zimbabwean television ZBC on Sunday reported that a young woman had given birth while sheltering from the floods in a tree.
Speaking at a briefing in Beira, 1,000 kilometres (620 miles) northeast of the Mozambique capital Maputo, Lands Minister Celso Correia said it was now “inevitable that cases of cholera and malaria will arise”.
The UN Office for the Coordination of Humanitarian Affairs’ deputy head Sebastian Rhodes Stampa, also at the briefing, warned that disease outbreaks in inaccessible areas could be “really problematic”.
The World Food Programme said Friday that the humanitarian disaster unfolding in Mozambique was on a par with the situation in Yemen and Syria which are both in the grip of civil wars.
Aid workers from across the world are continuing to arrive in the region to bring help to hundreds of thousands of affected people across an area of roughly 3,000 square kilometres (around 1,160 square miles).
Survivors are struggling in desperate conditions with some still trapped on rooftops and those rescued in urgent need of food and medical supplies.
“The government is already setting up a cholera treatment centre to mitigate cholera. We should not be frightened when cholera issues arise,” added Correia, describing efforts to control the emerging humanitarian crisis.
“It is normal. It’s almost inevitable. Malaria, we know how it arises. We have lots of wetlands and we’re going to have malaria that is sure to come up (there).”
Wilfried Deliviai, a 19-year-old resident of Beira which was caught in the eye of the storm, said he felt “sorry for our town, our city, because we suffered a lot to build it”.
“Houses are completely destroyed, and some people don’t have money to rebuild their businesses — and many businesses are going to fail,” he told AFP.
More than two million people have been affected in Mozambique, Zimbabwe and Malawi where the storm started as a tropical depression causing flooding which killed 60 and displaced nearly a million people. Hundreds are still missing in Mozambique and Zimbabwe.
In its daily update, OCHA said 74,600 women impacted by the cyclone are pregnant and around 60 percent of them are due to give birth within the next six months.
At least 7,460 of them are at risk of life threatening complications.
The International Committee of the Red Cross said it had recorded some cases of cholera so far but the UN was unable to confirm the reports.
Stampa described efforts to re-open the main access road to Beira as a “big victory”.
“We will be able to bring more help to families living in this affected area,” he said.
Those living in affected areas of Mozambique began to trickle back to church over the weekend.
The Ponta Gea Catholic Cathedral in Beira was miraculously undamaged by the storm while the church next door was levelled.
“The people don’t know what to do because they lost their houses, they have no food, they don’t know where to sleep — this brings sadness and anxiety,” said Father Pedro, who conducted a mass in darkness late on Saturday.
Much of the area hit by the cyclone remains disconnected from electricity supplies, complicating rescue efforts at night-fall.
As many as 109,000 people are living in shelters across central Mozambique, many of them located in and around Beira.
Those shelters also “run the risk of infectious disease such as diarrhoeal disease and measles”, James McQuen Patterson, UNICEF’s health and nutrition chief told AFP.
“Further, as many families have lost everything, some sleeping in the open, the risk of pneumonia, particularly among children increases considerably,” he said.
One survivor was six-year-old Elena Joaquin, who clutched a coconut as she sat surrounded by pots and pans at a shelter in Buzi, southwest of Beira, where she had sought refuge along with her parents.
He also highlighted the need to helping people living with HIV/AIDS of to resume treatment as soon as possible in the Sofala, which has one of the highest rates of HIV infection in Mozambique.
But life had slowly begun to return to normal in central Beira where traffic was flowing more than in recent days and business were resuming trade.
Public officers above 58 years and with pre-existing conditions told to work from home: The Standard
Head of Public Service Joseph Kinyua. [File, Standard]
In a document from Head of Public Service, Joseph Kinyua new measure have been outlined to curb the bulging spread of covid-19. Public officers with underlying health conditions and those who are over 58 years -a group that experts have classified as most vulnerable to the virus will be required to execute their duties from home.
However, the new rule excluded personnel in the security sector and other critical and essential services.
“All State and public officers with pre-existing medical conditions and/or aged 58 years and above serving in CSG5 (job group ‘S’) and below or their equivalents should forthwith work from home,” read the document,” read the document.
To ensure that those working from home deliver, the Public Service directs that there be clear assignments and targets tasked for the period designated and a clear reporting line to monitor and review work done.
SEE ALSO: Thinking inside the cardboard box for post-lockdown work stations
Others measures outlined in the document include the provision of personal protective equipment to staff, provision of sanitizers and access to washing facilities fitted with soap and water, temperature checks for all staff and clients entering public offices regular fumigation of office premises and vehicles and minimizing of visitors except by prior appointments.
Officers who contract the virus and come back to work after quarantine or isolation period will be required to follow specific directives such as obtaining clearance from the isolation facility certified by the designated persons indicating that the public officer is free and safe from Covid-19. The officer will also be required to stay away from duty station for a period of seven days after the date of medical certification.
“The period a public officer spends in quarantine or isolation due to Covid-19, shall be treated as sick leave and shall be subject to the Provisions of the Human Resource Policy and procedures Manual for the Public Service(May,2016),” read the document.
The service has also made discrimination and stigmatization an offence and has guaranteed those affected with the virus to receive adequate access to mental health and psychosocial supported offered by the government.
The new directives targeting the Public Services come at a time when Kenyans have increasingly shown lack of strict observance of the issued guidelines even as the number of positive Covid-19 cases skyrocket to 13,771 and leaving 238 dead as of today.
SEE ALSO: Working from home could be blessing in disguise for persons with disabilities
Principal Secretaries/ Accounting Officers will be personally responsible for effective enforcement and compliance of the current guidelines and any future directives issued to mitigate the spread of Covid-19.
Uhuru convenes summit to review rising Covid-19 cases: The Standard
President Uhuru Kenyatta (pictured) will on Friday, July 24, meet governors following the ballooning Covid-19 infections in recent days.
The session will among other things review the efficacy of the containment measures in place and review the impact of the phased easing of the restrictions, State House said in a statement.
This story is being updated.
SEE ALSO: Sakaja resigns from Covid-19 Senate committee, in court tomorrow
Drastic life changes affecting mental health
Kenya has been ranked 6th among African countries with the highest cases of depression, this has triggered anxiety by the World Health Organization (WHO), with 1.9 million people suffering from a form of mental conditions such as depression, substance abuse.
Globally, one in four people is affected by mental or neurological disorders at some point in their lives, this is according to the WHO.
Currently, around 450 million people suffer from such conditions, placing mental disorders among the leading causes of ill-health and disability worldwide.
The pandemic has also been known to cause significant distress, mostly affecting the state of one’s mental well-being.
Get breaking news on your Mobile as-it-happens. SMS ‘NEWS’ to 20153
With the spread of the COVID-19 pandemic attributed to the novel Coronavirus disease, millions have been affected globally with over 14 million infections and half a million deaths as to date. This has brought about uncertainty coupled with difficult situations, including job loss and the risk of contracting the deadly virus.
In Kenya the first Coronavirus case was reported in Nairobi by the Ministry of Health on the 12th March 2020. It was not until the government put in place precautionary measures including a curfew and lockdown (the latter having being lifted) due to an increase in the number of infections that people began feeling its effect both economically and socially.
A study by Dr. Habil Otanga, a Lecturer at the University of Nairobi, Department of Psychology says that such measures can in turn lead to surge in mental related illnesses including depression, feelings of confusion, anger and fear, and even substance abuse. It also brings with it a sense of boredom, loneliness, anger, isolation and frustration. In the post-quarantine/isolation period, loss of employment due to the depressed economy and the stigma around the disease are also likely to lead to mental health problems.
The Kenya National Bureau of Statistics (KNBS) states that at least 300,000 Kenyans have lost their jobs due to the Coronavirus pandemic between the period of January and March this year.
KNBC noted that the number of employed Kenyans plunged to 17.8 million as of March from 18.1 million people as compared to last year in December. The Report states that the unemployment rate in Kenya stands at 13.7 per cent as of March this year while it stood 12.4 per cent in December 2019.
Mama T (not her real name) is among millions of Kenyans who have been affected by containment measures put in place to curb the spread of the virus, either by losing their source of income or having to work under tough guidelines put in place by the MOH.
As young mother and an event organizer, she has found it hard to explain to her children why they cannot go to school or socialize freely with their peers as before.
“Sometimes it gets difficult as they do not understand what is happening due to their age, this at times becomes hard on me as they often think I am punishing them,”
Her contract was put on hold as no event or public gatherings can take place due to the pandemic. This has brought other challenges along with it, as she has to find means of fending for her family expenditures that including rent and food.
“I often wake up in the middle of the night with worries about my next move as the pandemic does not exhibit any signs of easing up,” she says. She adds that she has been forced to sort for manual jobs to keep her family afloat.
Ms. Mary Wahome, a Counseling Psychologist and Programs Director at ‘The Reason to Hope,’ in Karen, Nairobi says that such kind of drastic life changes have an adverse effect on one’s mental status including their family members and if not addressed early can lead to depression among other issues.
“We have had cases of people indulging in substance abuse to deal with the uncertainty and stress brought about by the pandemic, this in turn leads to dependence and also domestic abuse,”
Sam Njoroge , a waiter at a local hotel in Kiambu, has found himself indulging in substance abuse due to challenges he is facing after the hotel he was working in was closed down as it has not yet met the standards required by the MOH to open.
“My day starts at 6am where I go to a local pub, here I can get a drink for as little as Sh30, It makes me suppress the frustration I feel.” he says.
Sam is among the many who have found themselves in the same predicament and resulted to substance abuse finding ways to beat strict measures put in place by the government on the sale of alcohol so as to cope.
Mary says, situations like Sam’s are dangerous and if not addressed early can lead to serious complications, including addiction and dependency, violent behavior and also early death due to health complications.
She has, however, lauded the government for encouraging mental wellness and also launching the Psychological First Aid (PFA) guide in the wake of the virus putting emphasis on the three action principal of look, listen and link. “When we follow this it will be easy to identify an individual in distress and also offer assistance”.
Mary has urged anyone feeling the weight of the virus taking a toll on them not to hesitate but look for someone to talk to.
“You should not only seek help from a specialist but also talk to a friend, let them know what you are undergoing and how you feel, this will help ease their emotional stress and also find ways of dealing with the situation they are facing,” She added
Mary continued to stress on the need to perform frequent body exercises as a form of stress relief, reading and also taking advantage of this unfortunate COVID-19 period to engage in hobbies and talent development.
“Let people take this as an opportunity to kip fit, get in touch with one’s inner self and also engage in reading that would help expand their knowledge.