Why Donors should halt all COVID-19 Aid to the government of Malawi until there is full accountability regarding the usage of funds

COVID-19 statistics for Malawi as of 12th February 2021. Source: PHIM
  • US$1 = MWK 780.22  – Source: xe.com (13th Feb 2021)
  • Officials in Malawi, including people at the Department of Disaster Management Affairs(DODMA), have misappropriated the majority of K6.2 Billion (US$7.948 million) of Government funds which were earmarked for fighting Covid-19 and issued to government appointed Covid-19 Cluster committees- which are made up of civil servants.
  • According to credible reports from several sources, in one instance out of K85 Million ($109,000) earmarked for the purchase of Personal Protective Equipment(PPE) for Blantyre district, only K10 million was used for PPE, with K59 million being used for allowances. In Machinga, K30 million was spent on allowances with nothing on PPE. In Chitipa K22 million was spent on allowances, and nothing on PPE. In Chikwawa district for example K16 million was spent on allowances, with a meagre K4 million being spent on PPE.
  • There were several instances where significantly more money was spent on fuel than on PPE.

If you were looking for the perfect excuse not to waste your country’s citizens’ taxes to help the citizens of some poor country in East Afriica, one where officials have the nerve to steal COVID19 funds, now you have the perfect excuse.

Officials in Malawi have been accused of misappropriating a significant chunk of K6.2 billion meant for fighting Covid-19. The scandal now informally named COVIDGATE has revealed just how rampant, insensitive and endemic corruption continues to be in Malawi, and how little accountability there is in Government spending.

Despite the rhetoric from the Tonse Alliance government that they are serious about fighting corruption, or “clearing the rubble” to use President Lazarus Chakwera’s own words, the scandal has revealed just how little in practical terms the government has actually achieved towards that end. And how a lot more needs to be done.

Commenting regarding the scandal, one Malawian I talked to noted:

“If they can steal billions while Malawians are dying of COVID19 every day in our hospitals, while the hospitals are ill-equipped and overwhelmed and struggling to cope, while we have an acute shortage of PPE, what else won’t they do? What does that tell you about the kind of rot that we have in the civil service in this country? I understand poverty but these people are heartless, their brothers and sisters are dying everyday and they’re still stealing?!! They don’t deserve any mercy. Every single one of them needs to be fired!”

These people are heartless they don’t deserve any mercy

One Malawian commenting about the K6.2 Billion scandal.

Another commenter said: “If you donate to the government, your donation will end up into a politician’s stomach.”

Malawians on social media are equally enraged:

Meanwhile the office of the Director of Public Prosecutions in Lilongwe has ordered the Inspector General of Malawi Police Service to commence criminal investigations into the scandal. How long that process will take remains to be seen. However, historically such type of corruption or embezzlement cases in Malawi tend to take a long time. And in previous adminstrations, there were allegations that the lack of urgency and speed in prosecuting people who have embezzled Government funds pointed to a lack of political will.

The leader of opposition in Malawi’s p
Parliament Kondwani Nankhumwa MP

The leader of opposition in parliament Kondwani Nankhumwa MP has called for a forensic audit to ascertain weather DODMA and other Government officials misappropriated the funds.

However, until all the culprits are brought to book, and until there is total transparency regarding expenditure of Government funds, and until allowances on matters such as healthcare emergency spending are banned (all of which may take some time), I believe donors and international agencies working in Malawi should with immediate effect route all COVID19 aid funds either via charities and NGOs or via the COVID19 Private Citizens Response initiative (which so far has had an excellent record of transparency and of accounting for each and every single penny that has been donated).

Such a drastic action will focus minds within the Government of Malawi to do something decisive and to do so urgently against the scourge of corruption in Malawi.

Malawians are tired of being abused and taken advantage of like this. They want to know who was responsible for the embezzlement, how much was stolen by each official, and to see those people not only prosecuted and jailed, but also named and shamed, and forced to return the stolen funds back to the Government. And if they can’t return the misappropriated funds, then assets of each guilty person equivalent to the misappropriated funds should be confiscated. There has to be a very strong deterrent to stop this kind of thing happening over and over again.

The Governments of Britain, Germany France, the US and the EU should take note of this sad case of embezzlement, and be firm with officials in Malawi. This is an opportunity to force through much needed accountability and transparency in public service.

President Chakwera has on numerous occasions said he wants his leadership style to be a servant leadership style. This wanton embezzlement of emergency healthcare funds unfortunately frustrates such noble sentiments, and must be met with a tough response.

Nkhalidwe wonunkha kwambiri uwu. This behaviour must end now.

Why are some Media Houses dismissing Steaming as a remedy for Coronavirus without showing scientific evidence of it’s lack of efficacy?

So some Media houses are this morning trying to denigrate and dismiss Steaming (which some ethnic minorities have been doing to try and protect themselves from coronavirus). They say it is a fake remedy, but critically do not provide any evidence as to its lack of efficacy…?

And yet there’s been at least one small study which shows steaming as a “promising” remedy?

So here’s my question, shouldn’t Scientists first undertake controlled studies and clinical trials regarding whether Steaming has an effect on the virus or not, and if it has to what extent, before the media rushes off to bully, denigrate and dismiss anybody who recommends steaming as a remedy? Just asking…🧐

Listening to all the attacks, it seems to me that anything that’s not a Vaccine is being quickly dismissed and attacked without even first checking carefully, in a scientific study, whether it could have some efficacy or not. Which is concerning, to say the least.

Isn’t it the case that if you don’t try and check alternatives to the Vaccine, then you can’t possibly conclude whether something else works or not?!

Surely, if Pharmaceuticals go through the trouble of checking Vaccines (which are important and have a good history of effectiveness), then surely it shouldn’t be such a big deal to trial out simpler and cheaper home remedies? Especially when Vaccine supplies are in high demand, and some people unfortunately won’t be able to get them in time.

And steaming is by no means the only home remedy. There are claims that Blue gum leaves, ginger, garlic and other foods with anti-inflammatory properties are also effective, at least in preventing the build-up of mucus in the lungs.

I think at such a difficult time we should all be open-minded as to what other remedies could be effective against COVID-19. Which means it should be procedural for certain herbal or home remedies to be trialed for conclusive evidence as to their efficacy, before dismissing them.

This is important for poor countries which need alternatives until a time that they have procured enough Vaccine supplies, since they may not get all the Vaccine supplies they need in time, especially in light of the Vaccine shortages.

Finally, let me be clear that I’m not referring to absurd and ridiculous or otherwise scientifically illiterate herbal or home remedies which have been suggested in the past, like chlorine or disinfectant, which are dangerous to human health and could put people’s lives in danger.

Why many people I know are not that keen on the COVID-19 vaccine

A petri dish, pills, a mask and a syringe

Throughtout my life I have received all the vaccines which I was told I needed. My children too are fully vaccinated, and I am perfectly at ease with that. I continue to be supportive of vaccination as a proven and effective way of achieving immunity against certain illnesses. And I intend to receive the COVID-19 vaccine when it becomes available to me, so that I am protected agains the SARS-CoV-2 virus.

But many of my friends and some family members are not that keen on the COVID-19 vaccine. Here I outline some of the reasons why.

But first a couple of disclaimers:

This article is not about Anti-vaxxers or people who for some scientifically illiterate reason are opposed to vaccinations.

Also, I’m not a Virologist, Biomedical scientist or an Epidemiologist. I’m not a healthcare professional, have never undertaken vaccine research and my background and specialisation lie primarily in Electronic & Software Engineering. So some of the notation in this article may neither be precise nor depict accurate terminology. More importantly, I’m not writing this article to endorse, support, defend or otherwise give credence to any medical stance, let alone the numerous views, sentiments and feelings of some of the people I know or is acquainted with.

World Health Organization. Draft landscape of COVID-19 candidate vaccines. WHO https://www.who.int/publications/m/item/draft-landscape-of-covid-19-candidate-vaccines (2020).

Our traditional medicines are useful.The fruit trees that we have outside our houses, avocado, blue gum, their leaves are good and help a lot. We should encourage everyone to use our trees as herbal remedies. We should also ask our leaders to learn from Tanzania and Madagascar. Their leaders have shown leadership. We need to stand against the threat of the COVID19 vaccine.

However at a time of so much uncertainty and a multiplicity of views, I think their perspectives, questions, fears, hesitancy and concerns are valid and matter. They must not be dismissed but must instead be heard as legitimate concerns in a global debate, irrespective of what people sitting on the other side of the table think about such “fringe” views.

I have paraphrased some of the questions and concerns for clarity and to shield the respective identities of the people whose views I seek to replicate. I have also substituted some statements with similar views expressed online by other people I do not know but whose views more coherently mirror the original statements of the people I know.

Finally, it is encouraging to note that some people who previously expressed concern or feared taking a COVID-19 vaccine have since agreed to receive it, after considering in-depth information on the science behind the different vaccine candidates and how they are manufactured.

Watching this transformation from skeptic to convert happen has been delightful.

1. How effective will this vaccine really be?

“For How long will the vaccine protect me from the virus once I have received it?”

“I don’t like needles so don’t want to be receiving a vaccine for this virus every year or every few years.”

“When I was young, I had the BCG vaccine for TB, I’ve never needed another vaccine for TB, so why the hell I’m I being asked to be vaccinated twice for COVID?”

“What guarantees are there that when I receive this vaccine it will protect me against COVID-19? I know people are dying but if my body can produce an immunity response and protect me from further infection, how does what my body can naturally do differ from what the vaccine will be able to do? Give it to the old people with poor immunity, I’d rather let my body protect me naturally than having more chemicals injected into me”

Nigeria eyes domestic vaccine production to tackle COVID-19 (AFRICA BRIEFING)

2. Why do I feel like this vaccine is different from other “normal” vaccines?

A Campaign from NYC Health + Hospitals encouraging people to receive the vaccine.

There is a feeling among some people that the COVID-19 vaccine is different from other vaccines.

I know that there are several vaccines (and vaccine candidates) being rolled out, being researched or being trialed, and that they use different approches or incorporate different techniques to target the virus. However, several people have told me that they feel that these COVID-19 vaccines are not normal. Sentiments here range from those who believe the mRNA COVID-19 vaccine will alter their DNA, to those who think the speed of development should be met with alarm or at least extreme caution.

“Let us agree to disagree that change through COVID has come therefore let us embrace the change and live with the virus. One thing I don’t understand is how come COVID does not have a direct cure, but people recover like the way we recover from Malaria. That doesn’t happen with Polio??Or with HIV?? It’s not all of us who recover of diseases with cures but I think this virus is confusing and different, so we need to know more, otherwise let’s treat it like any other infectious disease.”

“This vaccine is preventing people getting the virus, it doesn’t cure COVID-19. There is the need for civic education about vaccines, which historically can sometimes be a gamble “

Professor Dale Godfrey…told newsGP the idea of whether two month represents an adequate period is not a straightforward answer as things are more likely to go wrong earlier in the renting phase that was the end

Matt Woodley, News GP, Is two months long enough to monitor for vaccine safety concerns?

“I work in the healthcare sector. I have been involved in discussions at the Mosque with lots of people and while the Imans are saying we should go talk to our GPs and are recommending taking the vaccine, some people in my community think we don’t yet know if this vaccine is safe, so I’m on the fence for now.”

“Bruv, is this shit real? Had them vaccines, all of them since i was a kid I’ve had, masteni ndi madala made sure I got them, but this Covid shit lame.”

Forgive me if this is a mistake, but remember they say ‘having little knowledge is more dangerous than having no-knowledge at all’ so i need to ask: As a way of ruling out all skepticism and mistrust, can’t there be an initiative of engaging our local experts to certify or rule otherwise if there’s something wrong with the vaccine? We have Malawi Bureau of Standards which certifies products manufactured either locally or imported. They inform the citizenry whether a product is worthy of consumption or not. Isn’t there a board that deals with medical products, medicines and poisons too? Whatever it is, why can’t we ask them about these vaccines and let them issue a statement on the safety of each vaccine? By the way, they are funded by taxpayers money 🤷

3. Is it normal for a Pharmaceutical company to seek advance government protection from legal action in the event that the vaccine harms some people?

As mentioned in the introduction, EU officials have informed Reuters that product liability is one of the biggest contentious issues in European efforts to secure a vaccine. AstraZeneca have reportedly come to a deal with Europe, although the commission has not yet commented on the details of liability. According to a Reuters report on the 26th August, the EU commission would only offer partial protection to manufacturers against liability, ‘hampering deals in contrast to US policy.’ The administration of the vaccine therefore lays in the balance of political, economic and sociological interests.”

– By Wouter PorsEvelyn Tjon-En-Fa, Flora Peel, A vaccine for COVID-19: risks and liabilities from an international perspective (Bird & Bird)

Why is AstraZeneca applying for protection from prosecution from national governments and the likes of the EU, in the event that their vaccines cause adverse effects, which could include death? Although any brief research will show that this is not entirely unheard of, especially for vaccines that have not completed Phase 3 trials, some people think it is not normal.

Sangs, if I come to you and say: I’m selling this car, but its only 66% safe for use and can’t guarantee that it won’t develop a fault that causes an accident while you are on the motorway, so if you buy it, and it causes an accident and you die, I can’t be held responsible.

Will you buy that car amwene?

No, you won’t voluntarily take such a risk. Your better senses, your intuition, will prevent you from taking that step, even if the car happens to be your dream car.

So, why are we being asked to take a vaccine where the maker of that vaccine is requesting protection from prosecution and won’t guarantee its safety and won’t be held responsible if it fucks us up?

Za chamba eti”

“My family and I have decided not to take this vaccine. If Malawi makes it compulsory, we will move and live in Tanzania. If Tanzania also makes it compulsory, we’ll go somewhere else. We need independent tests and full transparency on what’s going on first. “

4. Will the vaccine cause an adverse reaction when I come into contact with coronavirus?

Pathogenic Priming.

Here’s a nifty medical term I didn’t previously know about until recently. Much like “Furlough“, which I also only first encountered last year.

Another word related to pathogenic priming, which you may never have heard of before is Antibody-dependent Enhancement (ADE) or Immune Enhancement. This phenomenon according to several sources is when your body’s immune system reacts badly to the virus AFTER you have already been vaccinated.

Anyway, there are some people who believe the vaccine could cause an adverse reaction in some people, when they come into contact with the virus. The basis of this concern appears to be in the well chronicled Pharmaceutical blunders of the past. I’ll let the experts explain what the term actually means:

ADE is one form of immune enhancement, a poorly understood group of phenomena occurring when components of our immune system that usually protect against viral infections somehow end up backfiring. It’s a concern in situations when people are continuously re-infected with particular pathogens, and with vaccines that work by injecting snippets of virus to mimic a first infection. Some immunizations, such as those against respiratory syncytial virus (RSV), have been observed in the past to make disease worse when vaccinated individuals contract the virus.

Katarina Zimmer, COVID-19 Vaccine Researchers Mindful of Immune Enhancement (The Scientist)

“My husband was sick for a whole week after getting the flu jab last year. They were offering it via his workplace and he said ok why not. He was in bed for a week, had splitting headaches, yellow mucus coming out of his nose, a fever, lost appetite and was a wreck. I know COVID is not a flu, but I’m not having the COVID-19 vaccine! I’ve told him if you want you go receive it yourself, me – no! “

5. Will I still be able to have kids after I receive the vaccine?

A pregnancy test

How will the vaccine affect fertility in say 3 years? 5 years? 10 years? Is there credible information on this, I’ve been asked a couple of times.

“I want to have kids, but not ready to have kids now. How will the vaccine affect my fertility later on down the line?”

– a 20 year old daughter of a cousin

“There’s no evidence antibodies against any coronavirus cause infertility. If coronavirus spike proteins did lead the immune system to attack the placenta, we’d see widespread infertility after common cold seasons, which are caused by a range of viruses, including coronaviruses.”

Archa Fox, Associate Professor and ARC Future Fellow, University of Western Australia, Not sure about the Pfizer vaccine, now it’s been approved in Australia? You can scratch these 4 concerns straight off your list (The Conversation)

But what about Male fertility? Does anyone know the effects of a COVID-19 vaccine on male fertility in 4 years? 10 years? In one article, an opinion of one medical journalist that suggested freezing sperm got some people worried:

Study investigates effects of COVID-19 vaccine on male fertility

6. How will the vaccine affect my other organs in the long term?

Not just the effect on my lungs and the respiratory system, but on my kidneys, my heart, my eyes, my brain, my liver, my digestive system and so on.

“What research has been done to find out the effects of the various vaccines on different organs in the long term? I’m going to receive the COVID-19 vaccine but I think it’s only right that before we ask everyone to receive the vaccine we have to show them some conclusive evidence that it won’t affect other organs in their body in the long term, and if we can’t do that then it shouldn’t be mandatory to receive the vaccine, until after we have that evidence”

“What I know is that pregnant mothers receive a vaccine before a baby is born. And also when the baby is born the baby is vaccinated, and so while I don’t see anything wrong with the COVID-19 vaccine, maybe we should be told what happens in the long term.”

7. Will the COVID-19 vaccine contain nano robots?

This one is rare but there have been at least two occasions when an ordinary conversation with a friend veered into the less heard of but nevertheless real subject of nano robots?

For those not familiar with the term, Nano robots are nanodevices at the molecular level and are a known healthcare innovation within nanotechnology and nanomedicine.

One proposed use of nano robots is in Smart Drug Delivery System and some people are wondering whether the COVID-19 vaccine contains nano robots.

This concern was a lot more pronounced at the beginning of the pandemic, when the internet was awash with bizarre and nonsensical conspiracy theories about the links between COVID-19 and 5G.

8. My Faith in God will protect me from COVID-19

A post on a social media page.

Pretty much every crisis that the world has faced has at some point been met by these types of religious (or pseudo-religious) claims. And often there is little thought as to how such a stance affects other people, which itself may be a verdict on the lack of empathy of the person holding such views. In any case, no one lives in a vaccuum, and our actions, whether good or bad, often impact other people around us.

Considering all of the above views and concerns, it is clear that national governments everywhere have a tough job on their hands. Never mind sensitisation and countering of false information, if a significant percentage of society is opposed to the COVID-19 vaccines and are not willing to be vaccinated, for whatever reasons, it may ultimately defeat the whole global vaccination effort. This is because new viruses (against which the current vaccines have little or no effect) which will inevitably mutate in unvaccinated ‘pockets’ of the population will in no time be transmitted back into the vaccinated population(s) across the world – triggering a whole new pandemic!

Malawi needs a full lockdown to stem the spread of COVID-19

Last week two cabinet ministers in Malawi died of COVID-19. Yes, you read that right. Two ministers in Lazarus Chakwera’s government died of COVID-19 in a single day…

So far 396 Malawians that have been lost to the pandemic, out of 16,049 confirmed cases. The deaths include two other high ranking government officials.

All deaths to COVID-19 represent a sad premature loss of life. And given that sombre picture, it’s easy for Malawians to be fearful, panic, or lose hope. In any case, if government officials who are viewed to have access to the best medical care (some with access to pricey private medical care) in the country are ‘perishing to the virus‘, to quote a friend, what hope is there for the poor masses?

But going forward requires decisive action because inaction is not an option. If we’re to deliver the kinds of results necessary to stem the spread of the virus, then certain painful measures need to be put in place.

President Lazarus Chakwera, in his press conference last week declared a state of national disaster, and appealed to the international community, UN Agencies, NGOs and the private sector for more assistance and contributions to meet the challenge of the pandemic. Chakwera also called for an emergency meeting of the Presidential Taskforce on COVID-19 to explore additional measures to combat the pandemic. He also instructed several of his ministries (Health, Homeland Security, Education, Civic Education, Local Government, Justice and Information) to work together with the Vice President to review Malwi’s COVID-19 guidelines for curbing the spread of the virus, and recommend to the Taskforce any amendments to be made to those guidelines, and enforcement of those guidelines.

All well and good. However, depending on what Chakwera means by ‘additional measures‘, and depending on what additional amendments the ministries will recommend, I believe a full lockdown is the only way to resolutely stop the spread of this virus in Malawi.

The reason that’s the only sure-fire way is because if you look at countries that have successfully managed to control the spread of the virus, especially those with minimal fatalities, a full lockdown was one of the most important key measures taken.

NEW ZEALAND

Prime Minister Jacinda Ardern gives a coronavirus media update at the New Zealand Parliament. Photo: Mark Mitchell – Pool/Getty Images

The Australasian country of New Zealand has had a total of 2,267 COVID-19 cases and 25 deaths. 2,178 people in New Zealand have recovered from COVID-19 as of today. The success of New Zealand lies in early decisive action the country took, declaring a stringent lockdown as early as March 26, 2020 and taking an approach designed to “flatten the curve” of infections. The entire country (apart from essential workers & essential businesses) was required to self-quarantine at home, and after 5 weeks the lockdown was lifted. During this time, most workplaces, schools and public meetings were closed. Contact Tracing and Quarantine for visitors was put in place, introducing border restrictions to Non-citizens/ non-permanent residents, with all arrivals (regardless of where they came from or their symptomology) being made to go into managed isolation or quarantine facilities (mainly repurposed hotels) for 14 days. Those in quarantine where required to take Covid-19 tests on day 3 and day 12 of their time in quarantine.

Scientists’ modeling showing the effectiveness of the lockdown in New Zealand. Photo: Te Pūnaha Matatini

Public events were cancelled, and by May community transmission had been stopped, and in early June the Pandemic had been declared over in New Zealand. Following a further outbreak New Zealand brought in another lockdown in August 2020.

TAIWAN

Lessons from Taiwan (Atlantic Council)

Taiwan which has so far only recorded 7 deaths from COVID-19 from a total of 881 cases. After suffering from the SARS epidemic in 2003, the Taiwanese Centre for Disease Control very early in the pandemic begun screening all passengers arriving from Wuhan, and in collaboration with the Central Epidemic Command Centre (CECC – a body created to manage outbreaks, who in 2004 helped create a national health insurance smart card for each citizen, linking health records to travel history) ensured that each citizen had access to masks, and helped hospitals to be aware of potential COVID-19 cases in real time. The screening was soon extended to all arrivals from high-risk countries. Taiwan also created a digital quarantine system, whereby those who arrived from abroad were sent to a “quarantine hotel” – a hotel that has been repurposed for the pandemic – and were not allowed to leave their rooms for two weeks. This was supplemented by a track and trace system of in-person checks.

People who lived in a flat with their own bathroom were allowed to quarantine at home. Critically, those who were quarantining – be it in a hotel or at home – were monitored by a “digital fence” using their smartphones, cell towers and mobile phone carrier data. Anyone who ventured out of their area, was immediately contacted by text, and the health authorities informed – who would immediately send someone. If your phone run out of battery, a health officer would show up at your door.

The start of the new semester for schools was delayed for 2 weeks and by march there was a ban on large gatherings of 100 if indoors and 500 if outdoors.

In addition, citizens were paid monetary incentives, including £27 a day for staying in their room. Breaking the quarantines resulted in very high fines, as high as £27,000!

Taiwan also used the media to rebut false information, with press releases, viral memes and texts, encouraging wearing masks and importance of washing hands and using hand sanitizer. CoFacts, a collaborative fact checking service enabled those using chat apps to send something they suspected to be misinformation, to be fact checked.

LIBERIA

Photo: Flickr

Liberia, which so far has recorded only 84 deaths from COVID-19, has had only 1,901 cases. Several lessons underscore Liberia’s Response to COVID-19

Strong Leadership — President George Weah took decisive action against COVID-19 in that after the first confirmed case on March 16, all travel was suspended if the countries of origin had more than 200 cases. In addition, Weah declared a national state of emergency as well as a 14 day stay-at-home order. Citizens were ordered to stay at home unless if going out shopping or to get supplies. Wearing masks in public was made mandatory.

Community Response — The Active Case Finders and Awareness (ACFA) Team, who had been instrumental in fighting Ebola, were instructed to fight against COVID-19 using many of the same tactics developed during Ebola, including recruiting and training contact tracers, setting up hand-washing stations as well as convincing businesses not to serve those not wearing masks.

Respect for Local Cultural Beliefs and Perspectives — To stem the spread of misinformation, the ACFA began to go door-to-door, while observing the social distancing guidance of 6 feet away from people, to follow contact traces as well as inform the community about facts of COVID-19, and to dispel myths.

Last Sunday, Chakwera said his government had released additional funding for use by various clusters of  the Presidential Taskforce. He also outlined his priority in managing the recent surge of hospitalisation and providing emergency care to the critically sick, employing an additional 1,000 healthcare staff, among several measures.

But considering what the above countries have done, and contrasting that with the President’s measures, and looking at the rate of spread of the virus, I find that the measures announced on Sunday fall well short of what the country actually needs to stop the spread of the virus.

This is because the measures Chakwera has announced do little to stop community transmission, and do not prevent People coming into the country from abroad from breaking the self-isolation guidelines.

Also, since Pandemic fatigue has set in as wet weather makes going outdoor less inviting even in a country known for good climate, some people are still meeting friends (or people of different households) indoors, including in religious establishments like churches. This coupled with the open borders, in particular travel from South Africa and a large essential workforce, including people who have to go out every day for their sustenance (with many such people living in crowded or dense housing), has created a confluence of suitable conditions for the pandemic to flourish.


Prototyping & Product Development


And Malawi is not alone. Countries like Brazil, India and the UK have all experienced something similar as some people burdened by months of lockdowns and stringent restrictions have let their guard down.

Many of us relaxed our vigilance against the virus and now we are paying the price

Lazarus Chakwera, in a radio address on Sunday 10th January 2021

The rise in home remedies

Watch this video on YouTube here https://youtu.be/2ZoBb-ngk5k

The video above shows the many home remedies that have been suggested as preventative, alleviating or managing some of the effects of COVID-19. And while with the exception of only a few studies there doesn’t appear to be any  consensus from health authorities across the world as to the efficacy of such remedies, there are indications from anecdotal evidence that some such remedies are effective.

I think health services in countries which do not have as many resources to procure medical equipment lose nothing prescribing some such sound home remedies, be they blue gum leaves or anything else, especially when there is some evidence as to their efficacy, and the remedy itself is undertaken while observing strict health and safety measures. To qualify this point, you may remember that even the World Health Organisation (WHO) has made mistakes, in that in January 2019, while some of us were advocating that everyone must begin wearing masks in all public places, the WHO said there was no evidence that masks are effective in stemming the spread of COVID-19?! Poor advice which even the British government fell for??! A few months later the WHO began recommending that everyone should wear masks…?!

Pioneering procedures

Similar to the issue of home remedies, I am of the persuasion that certain pioneering procedures for the treatment of COVID-19 need to be further investigated by our Medical Agencies in Malawi. And the above video shows one such example, trialed in this case by Dr Emmanuel Taban in South Africa.

Epidemiologists and Surgeons at College of Medicine in Malawi need to take note and begin seriously looking into this procedure, and the use of IVERMECTIN(see video above) and others that have been flagged, for example the testimony of Dr Pierre Kory below- which advocates using anti-inflammatory steroids in critical care.

Preventing Infection transmission

And while the numerous fundraising efforts are commendable and very much necessary considering the circumstances, preventing the spread of the virus means stopping the infection transmission from one person to another.

It means proactive measures beyond mere reactionary fire-fighting in epidemic response and virus containment efforts.

This includes stopping any and all gatherings of people anywhere in the country, from State House all the way to the Tavern. It means borders must be closed again as was the case last year, preventing visitors entering the country, and restricting domestic and international travel to only necessary travel by residents/returnees returning home, and goods vehicles bringing in medicines, fuel and supplies. It means everyone who comes into the country must be quarantined in state run isolation facilities for a period of at least 14 days. Such measures will create the conditions that make infection transmission difficult.

In any case, a busload of people from South Africa will probably carry a much higher risk of bringing and spreading further infections into the country, than goods vehicles drivers traveling alone or in pairs. Further, it’s probably easier to test, quarantine and trace a handful of drivers passing through border entry points every now and again, than quarantining busloads of passengers who are expected to self-isolate- even when the authorities know very well that such people would either go on to live with relatives (spreading the virus to them) or wouldn’t be able to stay indoors for 14 days, as they’d need to go out to buy food or to work.

This issue is important in light of recent figures which showed that migrants returning from South Africa accounted for 40% of Malawi’s COVID-19 cases.

Malawi is a deeply religious country and President Lazarus Chakwera appears to be doing his best. His conviction and Christian faith are treasured leadership qualities which Malawians should cherish in terms of not only bringing people together, inspiring hope in the ‘divine intervention’, but also in the pursuit of collective resilience when faced with a killer disease.

But beyond subservience to a divine power and coalescence of people’s resolve, Chakwera’s government will need actions that can be quickly implemented beyond words. The type of action that has delivered positive results elsewhere!

This is important because some Malawians are already voicing concerns regarding Chakwera’s lack of decisive action.

There are also allegations that the request for funds which the president put out doesn’t make sense when his “bloated” cabinet is costing the tax payers nearly K1.6 Billion.

But that aside, only the most effective measures will reassure Malawians that the Tonse Alliance government is up to the task. And in my view, those measures must include a full lockdown.

Vaccine

India has donated 1 million vaccine doses to Nepal

Malawi needs to procure thousands of emergency vaccine doses for healthcare workers. This is important so that those at the forefront and in frequent contact with the sick are protected from the virus. Appeals to Indian, Chinese, European & American Pharmaceutical companies should be made as a matter of urgency to procure vaccines first for healthcare workers, followed by doses for high risk groups.

But because getting a vaccine could take time, then a lockdown is one of the drastic actions which the government can take right now, to stem the spread, especially in light of the recent “South African strain” which some health experts are saying is easily spread, and which appears to be more deadly.

Who will pay for it?

I’m not suggesting that a lockdown is an easy step, but I strongly believe it is necessary to stop the spread of the virus. In any case, if you prevent the spread of the virus, people will not be getting sick, thus will not be needing to be hospitalised. Thus, in the absence of a vaccine, a lockdown is a measure that tackles the root cause, as opposed to tackling symptoms.

In terms of funding, some of the COVID19 funds that so far have been set aside by government or which Malawi is receiving from donors need to be diverted into community support, to help those who are most vulnerable with food and supplies. Here, US$50 million needs to be set aside for a huge logistical and food aid operation that involves teams of tested healthcare workers going around buying food locally and distributing such food to communities, so that these people can stay at home for 2 or 3 months. Such an operation should be repeated several times as more funds become available.

Further, if such healthcare teams could receive the vaccine before such an exercise, it would improve the efficacy of the exercise.

Otherwise, the K72 Million which Chakwera said had so far been spent on protections and social support cluster to sensitize the public on the increased risks and evils of gender-based violence during the pandemic as well as to support victims and their families with materials and cash transfer, is in my view not enough. A lot more needs to be done.

The Jappie Mhango allowances fiasco is only the tip of the Iceberg of corruption in Malawi

If you’ve followed this blog for any length of time, you’ll know that Malawi has a big corruption problem. It is a fact and there’s no getting away from it. At least not in the present scenario where Peter Mutharika’s DPP is in government.

But for the benefit of those who are not aware of the scale of corruption in Malawi, or what this post is all about here goes; a few days ago, Malawi’s Health Minister Jappie Mhango, and Malawi’s Minister of Information, Civic Education and Communications Technology Mark Botomani were caught by a video recording discussing how they would hide the hefty allowances they were drawing from Covid19 Emergency fund. This is despite Mark Botomani appearing earlier on TV denying allegations that ministers were benefiting from any Covid19 related funds.

As would be expected people in Malawi have been outraged by this development with one Human Rights organisation, HRDC calling for the resignation of the ministers within 7 days.

As thousands of health workers continue to be poorly paid, it is reprehensible that these ministers would connive to cheat Malawians including the Health services even in an emergency situation. Just last week, there was a leaked circular from the Treasury’s recently dissolved Special Cabinet Committee on Covid-19 indicating allowances (termed “Risk Token”) per day for each Minister as MK450,000 (~US$611) and for each MP as MK350,000 (~ US$475) as remuneration for their tours in preparation for the pandemic. Those figures do not include accommodation and fuel allowances, which when factored in push the daily allowances to around MWK700,000! That’s more than twice the monthly salary of a Registered nurse in Malawi! and nearly 3 times that of lower bands of nurses (e.g. diploma holders from the Malawi College of Health Sciences).

No surprises then why people are outraged. Such exorbitant allowances cannot be normal or justified when the government has not provided adequate Personal Protective Equipment (PPE) to health care workers including nurses and doctors, in preparation for the Covid-19 pandemic.

Normally, the Office of the President and Cabinet (OPC) and the Treasury approve allowances structures and once that is done OPC dispatches circulars to government departments for noting and filing. Now in this emergency situation where there was a short notice, who approved the allowances?

Jappie must have discussed with Treasury Principal Secretaries that the government system is completely off bounds, because the way the government system works is that when a transaction is decided, Ministry of Finance and Treasury have to approve the expenditure. What’s happened here is that Jappie and his Controlling Officer (who is the PS) decided to breach that process.

This smacks of lack of discipline at the highest level in government. However, according to allegations from a source who declined to be named, Jappie Mhango’s corrupt ways are not new.

The allegation says that a few years ago, when Jappie’s sister (one Mrs Kaunda) was Secretary of the then manager at the Ministry of Education Division in Lilongwe (Central West), Jappie, his sister and one Thoko Chimuzu who was the Principal Planning Officer then (and is now PS at the Ministry of Information) used to supply maize and beans to schools in a racket that targeted schools. When funding from Education Headquarters to Education Division had been issued, Jappie and his clique would first deduct money that was due to them from their supply activities, and only then would the rest be used to towards the mandated payments for which the funds were issued. There was no restrain, no acknowledgement that there may be a conflict of interest.

Today even though Jappie has a constituency seat and a ministerial position, my source says that the trend never stopped, and the source is baffled how educated people behave in this shameful way.

The source said Jappie is extremely opportunistic and does not think of the effect of his actions or the conflicts of interest that arise. So the thieving team of Thoko Chimuzu and Jappie Mhango is still in operation today, and Mark Botomani is just the latest addition. Apparently, the racket included one Justin Adak K Saidi (a PS at Education) who rose from being a primary school teacher, and who was a protégé of Patrick Mbewe. Apparently, their dodgy operations have included using teachers to rig elections for UDF, and recently in 2019, for DPP. In fact the very idea of Tippex originated from this clique. They monopolize every opportunity to the extent two of Saidi’s children were awarded 2 scholarships to China.

If these allegations are true, then they simply confirm everything many of us have been writing about all these years. Peter Mutharika’s DPP government, as illegitimate as it is, if full of selfish people whose number 1 aim is to plunder the state for personal gain. If Peter Mutharika was truly interested in fighting corruption, he would have fired all these loose cannons and corrupt officials out of his government long ago.

These people will use whatever means to deprive Malawians of resources. They are not public servants and they do not have the best interests of Malawians at heart. Jappie Mhango has shown you his true colours, he is only interested in self-enriching himself. Please believe him.

The Anti-corruption Bureau needs to take note and begin investigating such rackets, including looking at these kinds of payments and allowances across the chain of command at the Treasury, the OPC and the Accountant General’s office, and whether they fully comply with the law.

Government officials including ministers and MPs should not take advantage or benefit from public schemes that are designed to help Malawians. There should be absolute transparency, a clear distinction and a clear separation between “public official” and “Supplier”. Simply put, if you want to be a supplier to the government, you shouldn’t hold a public office, and shouldn’t be in a position where you can influence the awarding of contracts for your own personal benefit, or to benefit your company, your relatives’ company or a company belonging to your friends. That is the only way we will ensure that public resources are safeguarded, and are not misused or fraudulently diverted by such rackets.