Thread.

How does India deliver the COVID-19 vaccine to a health worker in a remote tribal village with spotty mobile connectivity?

@DashJatin, @dansiddiqui & I travelled to Odisha's Koraput district, just as India's vaccination prog started.

Our story:

reuters.com/article/us-hea…
This is Pendajam, a tiny tribal hamlet in the south Odisha highlands that is home to Reena Jani, a 34-year-old ASHA worker, who was among the first wave of Indians to be vaccinated against COVID-19 earlier this month.
Jani woke up early on Jan 16, finished her chores, checked on a nearby pregnant woman and then sat pillion on a neighbor’s bike to reach the vaccination centre.

This is what her ride to Mathalput Community Health Centre looked ride.
The vaccine Jani was about to receive had travelled much further. From @SerumInstIndia’S factory in Pune, it had travelled to Odisha’s capital city by air.

From there, a vaccine truck brought the shots some 500km to Koraput town.

On the way: traffic jams, cows, fog, fatigue.
A day after arriving in Koraput, the shots were again pulled out of a fridge, counted and packed carefully to delivery to vaccination centres.

An armed policeman stood by the whole time, and then accompanied the van on its delivery run.
A small white vaccine van then took off for its delivery run, cutting through small country roads.

In all, India has distributed 16.5 million COVID-19 shots and this is how the vaccine travelled deep into the hinterland - all the while being kept at the required temperature.
At Mathalput Community Health Centre the next morning, officials and health workers first listened to the Prime Minister’s speech.

Then, they held a quick ceremony to appease the gods before starting the vaccination programme.

A coconut was expertly smashed.
Jani quietly waited her turn but she was scared.

“I was frightened because of my son and daughters. If something happens to me, what will they do?” Jani told us, visibly relieved after the injection produced no immediate side effects.
When she first learned she was to be vaccinated, Jani said she wasn’t worried. Then, she heard a rumour.

“Someone told me that people are fainting, they are developing fever and some are dying after taking the injection,” she said. “That is why I was frightened.”
A jittery Jani eventually received her shot, partly vaccinating her against COVID-19: one tiny step in India’s mission to beat the pandemic.

Read the full story, along with @dansiddiqui's photos, here: widerimage.reuters.com/story/the-1700…

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More from @DevjyotGhoshal

26 Jan
Tractors have begun streaming out of Singhu border near New Delhi, where thousands of farmers have been protesting for two months.

Police has stood aside, so far.

#tractorParade
#FarmersProtest
#RepublicDay2021
The farmers have stopped just ahead of the Outer Ring Road. A number of them want to go straight. A large contingent of police, backed by water cannons and tear gas launchers, are imploring them to go right, as per a planned route.

Stalemate. Image
Police and protestors have since scuffled, with police firing several rounds of tear gas to unsuccessfully hold the crowds back.

Concrete barricades and containers have been removed by protestors, and a large group has marched on to the ring road.
Read 7 tweets
29 Sep 20
Thread.

With troops amassed at the border with China and no sign of a drawdown, India is now pushing hard to blast and smash its way through the Himalayas.

Earlier in Sept, @dansiddiqui & I travelled to a road construction project in Ladakh.

Our report:
reut.rs/2G9v53h
This is the 283-km-long Nimmu-Padam-Darcha highway, along the Zanskar river.

When completed, in an estimated three years, it will be the first road to provide all-year connectivity to Ladakh.

The region is currently cut off for several months each year because of winter snows.
The terrain is harsh, with the constant risk of falling rocks, and rarified mountain air.

One afternoon, dozens of workers cleared debris from a freshly blasted section of the road.

A few kilometres away, another group crouched under an excavator as explosives went off.
Read 10 tweets
16 Sep 20
Thread.

Since tensions escalated with China this summer, India has moved thousands of additional troops to Ladakh.

That's been backed up by a massive military logistics operation.

Yesterday, we got a glimpse into how it works.

in.reuters.com/article/specia…

Below: A C-17 lands.
In recent months, the military has brought vast quantities of ammunition, equipment, fuel, winter supplies and food into Ladakh - more than 150,000 tonnes, via two highways and a fleet of large transport aircraft.

You can spot two below.
Eastern Ladakh, where the flare-up occurred, is typically manned by 20,000-30,000 soldiers. But the deployment has now more than doubled.

And they are set to stay through the harsh winter, in freezing temperatures and often deployed above 15,000 ft.

In the middle of a pandemic.
Read 7 tweets
2 Sep 20
The death of a Tibetan member of an Indian special forces unit in a mine blast near the site of a border flare-up with Chinese troops has offered a rare glimpse into a little-known group of elite, high-altitude warriors.

@rupamjn & I report:

reuters.com/article/india-…
The solider - part of the little known Special Frontier Force - was killed and another commando critically wounded in the blast near the shores of the Pangong Tso lake in the western Himalayas, three Indian government officials and two members of his family told Reuters.
Amitabh Mathur, a former Indian government adviser on Tibetan affairs, said the SFF were “crack troops.

“If at all they (SFF) were deployed, I am not surprised. It makes sense to deploy them at high altitudes. They are terrific mountain climbers and commandos."

@TonyMathur55
Read 4 tweets
1 Sep 20
A story on the $13 (or less) device that is helping Delhi fight the coronavirus.

Delhi’s govt has so far distributed pulse oximeters to more than 32,000 people for free, putting them at the heart of its home isolation plan.

in.reuters.com/article/us-hea…
The home isolation plan was devised in May, when the city's COVID-19 cases started spiking and hospital beds running short.

“If we hadn’t done this, there would’ve been no room to even stand in our hospitals,” Delhi’s health minister @SatyendarJain told me in an interview.
But health authorities started noticing “happy hypoxemia” - low blood oxygen levels without any breathlessness - that was leading to complications in coronavirus patients isolated at home.

That's where the cheap pulse oximeters came into play. A health worker shows a pul...
Read 6 tweets
17 Aug 20
This is the story of Ashish Kumar.

Until late March, he was making boxes for Ferrero Rocher chocolates.

Now, he is jobless and stuck at home - among the millions of young Indians whose lives have been upended by the virus.

@Saurabhsherry and I report.

in.reuters.com/article/health…
In school, Ashish was obsessed with plastics.

But his aspirations were a far cry from his father's early years in Dutta Nagar, where the family often didn't have enough food or clothes to wear.

“I thought that the children shouldn’t fall into our rut," his father, Ashok, said.
Stuck in a tiny village without internet, Ashish would find locals with smartphones and ask them to Google stuff.

By the end of school, he cracked a test and family somehow raised funds to send him to Gujarat to study plastic mould technology.

Last summer, he got a proper job.
Read 6 tweets

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