Distinguished global citizens, all protocols observed 😄

A close friend and colleague was surprised by my tweet & asked why - I don’t blame her at all and let me explain:

Earlier in 2022, I missed a meeting in London because my visa was delayed for over a month

🧵
In September, I almost missed UNGA; my visa appointment for US Embassy in Kenya was April 2024! We had to beg 🙏

A deputy minister of a country in Africa had to use their foreign passport; they couldn’t get a visa on their national passport 😞

Lucky they had dual citizenship
5 of my colleagues from @Amref_Worldwide & many others could not make it to #UNGA an important meeting on global health to seek solutions for the lagging #SDG targets which are lagging largely in, guess? Africa! Why? visa appointments a year after their desired date of travel
Africa is front & centre of closing the gap in the health-related targets of the SDGs. For many of us, while Global Health is everyone’s business rich & poor, it’s the LMICs that are the switch to turn to achieve equity and leave no one behind.
We need people from Africa in global health conversations, not some of us but all of us!

If we are to hold global health meetings outside Africa as we do & must, we need not take it for granted that African people will easily hop on a plane & show up - they want to but can’t
The planning must include access & means to attend to contribute meaningfully to a discussion which is largely about them.

Visa processing, courtesy passage at the airport in partnership with the host Governments (a very African culture) are inevitable!
Change only happens when people speak up as @laktarr001 did & not for himself but for 1.4 Billion on the continent. It’s not about this incident but institutionalized passport discrimination meted on people from LMICs
We invite the world to the following Global Health meetings in Africa - cphia2022.com/registration/ in December 22
….and ahaic.org in March 23
All global health convenings in & outside the Global South (?) are needed & important because it’s everyone’s business - we only need to be sensitive to & more aware of existing passport & colour discrimination through visa and airport passage largely meted on LMICs

I submit 🙏

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More from @daktari1

Jun 18
A thread: Why Africa needs ownership of its health security 👇🏾

Despite @AfricaCDC recording 10000 monkeypox cases & 600 deaths in 2 yrs (20/21), @WHO stockpiled vaccines were only mobilised when monkeypox was identified in far fewer cases and no deaths in rich countries in 2022 The Numbers shown in the chart for Africa are for 2022 only!
The 1400 cases & 66 deaths in Africa in this chart are only for 2022! It’s only after going beyond Africa that stockpiled vaccines are being released & a Public Health Emergency being considered - note no death has been recorded outside Africa yet - we pray none occurs!
The continent has been containing Monkeypox since 1970, Are International Health Regulations (IHR) really fit-for-purpose for Africa? Africa needs its own instruments for emergency response at @AfricaCDC aligned and not contradictory to @WHO and the #IHR but supportive
Read 8 tweets
Dec 4, 2021
Spent time in Kibra, Nairobi today attending a vaccination outreach by @AmrefUniversity students & @MOH_Kenya

1. The challenge is not hesitancy - it’s lack of Access.

2. We don’t call a woman who delivers at home because of absence of skilled delivery ‘hesitant’
Behind this tent, there is a well equipped Health centre that vaccinates 9-5pm Monday to Friday and only manages 30 vaccinations per day.

Yet this outreach has vaccinated 300 people in 6 hours from the same neighbourhood - old and young!
Human centred design requires we map vaccination around peoples lives & behaviours not around Health facilities as this woman told me - she is busy through the week working hard to feed & educate her children - Saturday morning outreach near her was all she needed!
Read 7 tweets
Jul 25, 2020
To all of us in the health sector, I pray we manage PATIENTS/PEOPLE not #COVID19 🙏🏾 To the President, the tragedy, SIR,will not be in how many got infected but in how many lost their lives UNCOUNTED as we COUNTED 😔YES to #primarycare capacity - #NotLockdown @StateHouseKenya
1. Information and patient management guidelines and health workers support starting at the lowest health facility upwards #NotLockdown @MOH_Kenya
2. Pulse oximeters at all health facilities to identify patients in IMMEDIATE danger who need referral or high flow oxygen - patients are collapsing waiting for results 😢 - temperature scanners at hospitals casualty inadequate on their own #NotLockdown @MOH_Kenya
Read 8 tweets
Apr 1, 2020
This has been ‘trending’ on WhatsApp groups and I thought its good I put it out there that yes my opinion is that we need to realize the time it will take to go back to normal life is 4-5 months. #COVID19 @Amref_Worldwide #hibernate
I must admit I posted it as a thread on twitter and I have no idea who took it up and created a pdf complete with my photo and a typo (peak not pick!) 🤷🏿‍♂️

Imagine this - Every country has a slow phase which then goes geometric. The slow phase takes about 1 month.
Many countries in Africa have just started their slow phase and projections are peaks in May/June. There is no way the government will be relaxing control measures when local transmission is going up.
Read 9 tweets
Mar 29, 2020
Let me give free advice to ⁦@dailynation⁩ This pandemic is not a short term social disruption but it’s going to take months before our lives go back to normal & start social gatherings. May & June is likely to be the pick with thousands of infected people. Take it slow...
And it’s PEAK not PICK as my Resident Editor @JustDes just picked (pun intended) 😔
This is a marathon. Brace yourselves fellow humans. It’s going to be months of public health measures of physical distance with banned gatherings. Months!! My conservative guess is 4-5 months from now
Read 7 tweets

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