London - Having escaped the worst when the coronavirus pandemic erupted last year, Southeast Asia is now suffering dramatic rises in deaths and cases, while vaccinations hortfalls and highly contagious variants derail containment efforts.
As countries like Britain, Germany and France prepare to remove most remaining restrictions after devastating outbreaks, governments in Southeast Asia are tightening measures, hoping targeted lockdowns will act as circuit-breakers in arresting record jumps in cases and deaths that started rising in May.
Indonesia, the region's hardest hit and most populous country, recorded more than 38,000 cases on Friday for a second successive day, six times the number a month earlier, in a week when its daily death toll as much as doubled from the start of July. Authorities extended restrictions to 15 new locations across the archipelago on Friday, hoping to avert the crisis seen onthe island of Java, where hospitals are being pushed to thelimit, oxygen supplies are low, and four of five designated COVID-19 burial grounds in the capital Jakarta are close tofull.
A record 9,180 cases were reported on Friday in Malaysia anda similar number in Thailand, where authorities announced tougher measures in and around the capital Bangkok to slow thespread of the Delta variant, including a curfew, travel curbs, mall closures and limits on gatherings. Neighbouring Myanmar saw 63 deaths and 4,320 new cases onFriday, both record highs, while Cambodia has seen its highest number of cases and deaths in the past nine days. Health experts say low testing rates in the most populous countries Indonesia and the Philippines are also likely disguising the full extent of outbreaks, while Myanmar has seena collapse in testing since February's coup. Vietnam's reputation as a coronavirus success story is underthreat, with more cases in the last five days than during thefirst 14 months of the pandemic, although the record 1,625 caseson Friday were a fraction of those in Indonesia. Panic-buying preceded Friday's imposition of movement restrictions in the epicentre Ho Chi Minh City, while thecapital Hanoi has announced measures to insulate itself fromo utbreaks in other regions in the country of 98 million people.
Dicky Budiman, an epidemiologist at Griffith University in Australia, said the region was struggling to cope with the Deltavariant and paying for inconsistencies in strategy, messaging,and enforcement of protocols. He cited the need to broaden the range of vaccines, notingthe dominance of the China's Sinovac, owing to itsvaccine diplomacy when Western brands were unavailable. "In handling the pandemic at a bigger scale ... vaccinescan't stand alone," he said. "Vaccines need to be diversified.Resources need to be diversified." Immunisation rates remain low, with 5.4% of Indonesia's 270million population fully inoculated, about 2.7% of people in the Philippines and 4.7% of the population in Thailand. Malaysia has vaccinated 9.3% of its 32 million people and has introduced an enhanced lockdown in its capital and industrial belt. Indonesia and Thailand on Friday said booster shots with mRNA vaccines would be administered to health workers - most ofwhich were given Chinese vaccines like Sinovac - amid concernsabout their resistance to variants. Thailand said the Pfizer and BioNTechshot would be given to its medical workers, while Indonesia saidModerna vaccines would soon arrive for use among health staff. With a worsening outbreak and worries about the efficacy of vaccines offered locally, appetite has quickly grown in Thailand for mRNA vaccines, which aren't available until near the end ofthe year. A Thai hospital on Friday said booking slots for 1,800 shotsof Moderna's vaccine were sold in minutes, after it offered iton e-commerce platform Shopee.
Singapore is among the few bright spots, with authorities tosoon ease restrictions imposed when the Delta variant was detected, and complete the immunisation of half of thepopulation later this month. Alex Cook at the National University of Singapore's Saw Swee Hock School of Public Health said the city-state was an exception, with its neighbours far behind. "This shows the need to redouble global efforts at fairvaccine deployment to ensure higher risk individuals in lower income countries can also be protected," he said.