Flying Aid Nepal …

FAN no longer receives new applications for financial support, but may support running initiatives with extra money for acquisition of medico-technical equipment targeted at preparing health institutions (mainly other than national and district hospitals) for a 3rd wave of Covid-19. All donor money received after July 12th will be dedicated to prepare for a 3rd wave, following the thoughts here, in line also with information given in the Rotary Report. Information about places in need of Oxygen concentrators to combat the expected third wave can be sent to FAN spokesperson flemming@topsoefamily.dk .

ADDED NOTE 28.09.2021:

Based on expert evaluation and considering the coming cold period in Nepal as well as the upcoming traditional celebrations (Dachain and Tihar), a 3rd wave of the Covid-19 disease is expected to hit Nepal this autumn. All remaining  FAN funds, supplied with what will be donated up to October 20th (the date where banks in Nepal reopen after Dachain) will be used to purchase oxygen concentrators and have them distributed to Category 3 health posts, cf. this link. This will enable final distribution of concentrators in the first week of November, just before the start of the Tihar holidays.

The operation will be conducted in close collaboration with the Rotary Club of Kathmandu, RC/KTM, and their collaboration partners. This involves direct purchase at the factory in Jinhua, China, transport by road to the airport in Guangzhou, further transport by air to Kathmandu, custom clearance at the airport and deposition at the main office of RC/KTM from where pick-up and final distribution to a large number of health posts will take place by dedicated volunteers and others, referred to as the Distributors. The procedure will follow the steps of a previous successful operation, which resulted in a substantial cost reduction of oygen concentrators by 50-70%, cf. the report here (Danish version).

The operation now planned follows an agreement with RC/KTM, facilitated by FAN3 (Himalayan Project), which enables a pooling of donations from several sources, thus resulting once more in a substantial reduction of price from the Chinese seller.

We ask final donations to FAN to be made before the weekend October 16th-17th. Likewise, and most importantly, we also ask Distributors to come forward before this time.

Distributors who have been approved by FAN (which only requires that adequate information has been provided, see below) will be granted the right to distribute concentrators as requested according to a “first come first served” principle (however, with a possible reduction of the number of concentrators to distribute). Distributors may be Nepalese organizations (NGO’s or others), ad hoc groups of volunteers, health posts themselves or local official authorities. Distributors must offer to pick up oxygen concentrators at RC/KTM (Rotary Hall, Thapathali) at a specified date (to be communicated later, presumably on November 2nd, plus or minus one day) and to distribute the concentrator/concentrators at clearly specified health posts. The concentrators will have a logo affixed covering both RC/KTM and FAN. Information provided by distributors (one page only if possible) should contain the following:

  1. Receiving health post or health posts if more than one. Brief description re availability of electricity and trained staff, ability to benefit from the concentrators during as well as after an eventual 3rd wave.
  2. Number of concentrators you offer to distribute and planned time of distribution (has to be within this year).
  3. Describe the Distributor responsible for pick-up and distribution (if unknown to FAN, include a suitable reference). In case distribution can be combined with other activity preparing for and combating a 3rd wave – which we much welcome – we appreciate a brief description (PPE, Medical equipment, food distribution, awareness campaigns etc.).
  4. State if you can offer to instruct personnel at the health post(s) about the proper use of the concentrators in cases where this will be needed.
  5. Concentrators are delivered free of any charge by FAN and RC/KTM. Confirm that all other costs can be covered from other sources.

All Distributors offering their assistance will receive a GO/NO GO decision from FAN on October 26th  at the latest, containing contact information and other necessary information regarding the operation. FAN expects to receive brief reports about completed activity before year end.

Vi har modtaget billeder og anden dokumentation fra en række modtagere. Se dem her:

Ini-4 NIC, Tatey Healthpost, Budhiganga Municiplity, Bajura
Ini-7 Dang cooperative
Ini-9 Bhimsen Thapa Rural Municipality, Gorkha
Ini-10 Action Aid, Bardiya Region
Ini-12 Nepal Development Society, Pokhara og fire andre store byer
Ini-13 NIDWAN, Hanumannagar Municipality, Siraha
Ini-14 Nilkantha, Dhading
Ini-26 Shanta Samaj Nepal-NGO, Kathmandu
Ini-29 Butterfly Foundation Nepal, Pokhara, Kaski
Ini-31 Laxmi Pratisthan, Rapti Municipality, Chitwan

Jugal Rural Municipality in Sindhupalchok district setting up an isolation ward with oxygen. Foto: Srijana Tamang, Nepali Times

I slutningen af april steg antallet af COVID-19-smittede i Nepal med raketfart. Dette skete samtidig med en tilsvarende og næsten lige så kraftig smittestigning i Indien.

Da Indien gennemførte et lockdown vendte rigtig mange nepalesere hjem til Nepal, især til Kathmandu-dalen og lavlandet i Terai. Og rigtig mange af dem var allerede smittet, så de bidrog til at få smittespredningen til at eksplodere. Den 29. april blev der dekreteret lockdown i Kathmandu-dalen og i Pokhara. Igen et boost til smittespredningen, for rigtig mange drog i de følgende dage ud fra Kathmandu til deres hjembyer rundt om i landet. Og igen havde mange smitten med sig på rejsen. Nu blev katastrofen landsdækkende.

Vacciner er vejen ud af pandemien, men Nepals hovedleverandør af vacciner var Indien, og Indien standsede al eksport af vacciner, da de selv fik brug for dem. Kontakttallet kom op på 2 (i Danmark pt. 1,1) og positivprocenten svinger mellem 35 og 50%. Patienterne strømmede til hospitalerne, der ikke kunne behandle alle. Skønt de officielle tal for smittede og døde er høje, er der reelle tal langt højere, da mørketallet formodes at være endog meget stort.

Hospitalerne løb tør for deres vigtigste behandlingsmiddel: ilt, for iltflasker, for regulatorer til iltflaskerne, for respiratorer, for værnemidler, for hospitalssenge. Med andre ord Nepals sundhedsvæsen brød sammen. Men kunne ikke behandle de syge, man afviste dem ved indgangen, de syge døde på fortovet foran hospitalerne.

Netværket Flying Aid Nepal, FAN, blev startet med henblik på at støtte Nepal som reaktion på den aktuelle COVID-udvikling. Netværket tilstræber inden for rammerne af FAN at samle og koordinere ressourcer med henblik på at levere hurtig hjælp til Nepal, der er meget hårdt ramt af COVID-katastrofen. Man må se i øjnene, at den nuværende katastrofe er langt alvorligere og med længere eftervirkninger end jordskælvet i 2015. Det basale sundhedssystem er brudt sammen, økonomien er i ruiner, fødevarer er knappe og alvorlig hungersnød truer. Der skal gøres noget. 

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