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Venezuela is collapsing without COVID-19 vaccines

2021; Elsevier BV; Volume: 397; Issue: 10287 Linguagem: Inglês

10.1016/s0140-6736(21)00924-7

1474-547X

Enrique S López Loyo, Marino González, José Esparza,

Global Public Health Policies and Epidemiology

Once considered a rich oil-producing country, Venezuela is confronting a rapidly increasing COVID-19 epidemic that adds to a complex humanitarian crisis that has been affecting the country since 2016.1Page KR Doocy S Reyna Ganteaume F Castro JS Spiegel P Beyrer C Venezuela's public health crisis: a regional emergency.Lancet. 2019; 393: 1254-1260Summary Full Text Full Text PDF PubMed Scopus (87) Google Scholar The health-care system has collapsed and is incapable of responding to the ever-increasing number of patients who require hospitalisation. Health-care personnel, including doctors, nurses, and other first-line health staff, have been substantially affected by the epidemic, leading to the highest lethality reported in the Americas.2Osío Cabrices R The pandemic's brutal toll on Venezuelan doctors and nurses.https://www.caracaschronicles.com/2021/04/02/the-pandemics-brutal-toll-on-venezuelan-doctors-and-nurses/Date: 2021Date accessed: April 8, 2021Google Scholar A desperate population is resorting to self-medication with unproven therapies, including the officially promoted so-called miraculous drops, a natural product that promises to be an infallible preventive and cure for the disease.3McKenzie H A miracle cure for COVID-19? We've heard that one before.https://www.biospace.com/article/a-miracle-cure-for-covid-19-we-ve-heard-that-one-before/Date: 2021Date accessed: April 8, 2021Google Scholar While many other countries in the Latin American region negotiated, well in advance, for the procurement of vaccines and are already implementing vaccination programmes, the Launch and Scale Speedometer shows that Venezuela did not. To our knowledge, Venezuela does not have a known national COVID-19 vaccine plan, and the supply of vaccines is spasmodic, insufficient, and unplanned. On Feb 18, 2021, 200 000 Sputnik V vaccines were received with great fanfare, followed by a donation on March 11, 2021, from China of 500 000 doses of the Sinopharm vaccine, plus an additional batch of 50 000 doses of the Sputnik V vaccine that was received on April 15, 2021. On March 22, 2021, Venezuelans were informed that additional batches of vaccines had been received: two Cuban vaccine candidates (30 000 doses each of Soberana-2 and Abdala, which are undergoing clinical trials in Cuba) and one from Russia (1000 doses of EpiVacCorona).4Feliciano D Venezuela will begin to apply Cuban vaccine Abdala, without customary trials or regulatory approval.https://riotimesonline.com/brazil-news/mercosur/venezuela/venezuelan-regime-will-begin-to-apply-in-july-the-cuban-vaccine-abdala-which-has-not-completed-the-trials-and-has-not-been-approved/Date: 2021Date accessed: April 8, 2021Google Scholar Although the Venezuelan Government announced the purchase of an additional 10 million doses of the Sputnik V vaccine on Dec 29, 2020, that purchase has not materialised. The number of doses that have arrived so far in Venezuela is insignificant compared with the need to vaccinate 15 million people, or 70% of the adult population in the country. No official information is available on the number of vaccine doses administered thus far, but we believe it is less than 200 000, with very few used to protect health-care personnel. Venezuela's National Academy of Medicine is supporting ongoing efforts to bring vaccines to Venezuela via the COVID-19 Vaccine Global Access (COVAX) Facility, and other alternatives, to ensure that Venezuelans are not denied their human right to health and equitable access to safe and effective COVID-19 vaccines that are prequalified by WHO. International collaboration and cooperation is urgently needed to avoid a rapidly increasing humanitarian catastrophe in Venezuela. We declare no competing interests. Venezuela's public health crisis: a regional emergencyThe economic crisis in Venezuela has eroded the country's health-care infrastructure and threatened the public health of its people. Shortages in medications, health supplies, interruptions of basic utilities at health-care facilities, and the emigration of health-care workers have led to a progressive decline in the operational capacity of health care. The effect of the crisis on public health has been difficult to quantify since the Venezuelan Ministry of Health stopped publishing crucial public health statistics in 2016. Full-Text PDF